MERCY HEALTH SERVICES, LLC (NPI# 1548251929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548251929 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SERVICES, LLC |
| Practice Address |
12348 Old Tesson Rd Suite 100 Saint Louis MO 63128-2215 |
| Practice Telephone | 3148421113 |
| Practice Fax Number | 3148499366 |
| Mailing Telephone | 3144673888 |
| Mailing Fax Number | 3144673889 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2017-11-10 |
| Authorized Official Name | PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS) |
| Authorized Official Telephone | 3146285606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 2002001249 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 602482200 | 05 | |
| MO | NCPDP | 2624775 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083003420 | Mercy Health Services, LLC | Home Health | 1005 E Cherry St, Troy, MO 63379-1503 | 2015-01-22 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1255781241 | Mercy Health Services, LLC | Pharmacy | 901 Patients First Dr, Suite 1400, Washington, MO 63090-4700 | 2016-06-21 |
| 1063831287 | Mercy Health Services, LLC | Pharmacy | 1203 Smizer Mill Rd, Suite 101, Fenton, MO 63026-3483 | 2014-04-15 |
| 1568729150 | Mercy Health Services, LLC | Pharmacy | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2012-04-19 |
| 1790096683 | Mercy Health Services, LLC | Pharmacy | 15945 Clayton Rd, Suite 140, Ballwin, MO 63011-2146 | 2010-06-25 |
| 1164567897 | Mercy Health Services, LLC | Optometrist | 851 E 5th St, Suite 112, Washington, MO 63090-3135 | 2007-02-20 |
| 1992881973 | Mercy Health Services, LLC | Optometrist | 621 S New Ballas Rd, Suite 7a, Saint Louis, MO 63141-8232 | 2006-10-31 |
| 1003851239 | Mercy Health Services, LLC | Pharmacy | 1400 Us Highway 61, Ste G38, Festus, MO 63028-4100 | 2006-06-19 |
| 1508857996 | Mercy Health Services, LLC | Pharmacy | 851 E 5th St, Suite #104, Washington, MO 63090-3135 | 2005-11-03 |
| Street Address |
12348 OLD TESSON RD SUITE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447629464 | Irene Rathjen | Nurse Practitioner | 12348 Old Tesson Rd, Ste 160, Saint Louis, MO 63128-2251 | 2015-09-21 |
| 1831432814 | Jennifer Lynn Tietjen | Nurse Practitioner | 12348 Old Tesson Rd, St 160, Saint Louis, MO 63128-2251 | 2013-03-28 |
| 1891049979 | Regeneration Orthopedics, LLC | Anesthesiology | 12348 Old Tesson Rd, Ste120, Saint Louis, MO 63128-2251 | 2012-10-29 |
| 1831489566 | Jennifer Marshall Chung | Internal Medicine | 12348 Old Tesson Rd, Suite 250, Saint Louis, MO 63128-2251 | 2011-04-14 |
| 1578867164 | Emily Joy Riley | Nurse Practitioner | 12348 Old Tesson Rd, Suite 160, Saint Louis, MO 63128-2251 | 2010-12-22 |
| 1700067352 | Ann M Schulte | Nurse Practitioner | 12348 Old Tesson Rd, Suite 160, Saint Louis, MO 63128-2251 | 2007-11-23 |
| 1851588800 | Michael Pineda Gerardo | Internal Medicine | 12348 Old Tesson Rd, Suite 250, Saint Louis, MO 63128-2251 | 2007-10-03 |
| 1699898312 | Amy Susan Beck | Internal Medicine | 12348 Old Tesson Rd, Suite 240, Saint Louis, MO 63128-2251 | 2007-04-09 |
| 1053403915 | Carl Peters | Family Medicine | 12348 Old Tesson Rd, Suite 180, Saint Louis, MO 63128-2251 | 2006-09-29 |
| 1497854533 | Smith Surgical Services, LLC | Surgery | 12348 Old Tesson Rd, Suite 180, Saint Louis, MO 63128-2215 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1962978858 | Ubc Pharmacy LLC | Pharmacy | 4700 N Hanley Rd Ste B, Saint Louis, MO 63134-2700 | 2018-10-17 |
| 1730655747 | Symbria Rx Services St. Louis, LLC | Pharmacy | 2248 Welsch Industrial Ct, Saint Louis, MO 63146-4222 | 2018-10-17 |
| 1174056642 | Tpd Pharmacy | Pharmacy | 5937 W Florissant Ave Ste 1, Saint Louis, MO 63136-4952 | 2017-04-11 |
| 1104162999 | Washington University | Pharmacy | 5225 Midamerica Plz, Saint Louis, MO 63129-0002 | 2012-12-24 |
| 1972880789 | St. Louis Hills Pharmacy LLC | Pharmacy | 4365 Chippewa St Ste 100, Saint Louis, MO 63116-1606 | 2011-11-08 |
| 1568753150 | Mercy Pharmacy Services, LLC | Pharmacy | 12700 Southfork Rd Ste 110, Saint Louis, MO 63128-3201 | 2011-04-29 |
| 1033426424 | Esi Mail Pharmacy Service Inc | Pharmacy | 4700 N Hanley Rd Ste C, Saint Louis, MO 63134-2700 | 2010-09-07 |
| 1497920375 | Schnuck Markets Inc | Pharmacy | 11420 Lackland Rd, Saint Louis, MO 63146-3559 | 2008-04-23 |
| 1194851592 | Sem Enterprises Inc | Pharmacy | 3418 Meramec St, Saint Louis, MO 63118-4208 | 2007-02-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on MERCY HEALTH SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.