MERCY HEALTH SERVICES-IOWA CORP. (NPI# 1639253990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639253990 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SERVICES-IOWA CORP. |
| Other Organization Name | WESTSIDE PHARMACY |
| Practice Address |
910 N Eisenhower Ave Mason City IA 50401-1525 |
| Practice Telephone | 6414285630 |
| Practice Fax Number | 6414285599 |
| Mailing Telephone | 6414285630 |
| Mailing Fax Number | 6414285599 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-08-16 |
| Authorized Official Name | SUZETTE ROLLING (MANAGER) |
| Authorized Official Telephone | 6414287917 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
74 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2026009 | 01 | |
| IA | 0096818 | 05 |
| Other Name | Type Code |
|---|---|
| WESTSIDE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134204738 | Mercy Health Services-iowa Corp. | Pharmacy | 1010 4th St Sw Ste 110, Mason City, IA 50401-2856 | 2006-10-25 |
| 1962591370 | Mercy Health Services-iowa Corp. | Pharmacy | 621 S Illinois Ave Ste 101, Mason City, IA 50401-5489 | 2006-10-12 |
| 1225149628 | Mercy Health Services-iowa Corp. | Pharmacy | 116 E 11th St, Spencer, IA 51301-4364 | 2006-08-31 |
| Street Address |
910 N EISENHOWER AVE |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811041 | John C Justin | Pediatrics | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2005-09-16 |
| 1023622628 | Ashley Matern | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2020-09-02 |
| 1629690508 | Tara Nichols | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2020-05-13 |
| 1700424801 | Heather Ileane Ricklefs | Pharmacist | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2019-12-19 |
| 1770136194 | Benjamin Buffington | Pharmacist | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2019-07-24 |
| 1568014835 | Mahala Phillips | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2019-07-16 |
| 1811469364 | Lisa A Quigley | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2018-12-21 |
| 1861968737 | Jessica Lynn Reicks | Occupational Therapy Assistant | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2018-10-18 |
| 1922580125 | Kerri Conway | Occupational Therapist | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2018-09-04 |
| 1790214575 | Tina J Reid | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649533324 | Hy Vee Inc | Pharmacy | 551 S Illinois Ave, Mason City, IA 50401-4441 | 2012-06-19 |
| 1063427383 | Walgreen Co | Pharmacy | 1251 4th St Sw, Mason City, IA 50401-2710 | 2006-07-29 |
| 1225050958 | Iowa Cvs Pharmacy LLC | Pharmacy | 3450 4th St Sw, Mason City, IA 50401-1501 | 2006-07-24 |
| 1326083718 | Hy Vee Inc | Pharmacy | 875 4th St Sw, Mason City, IA 50401-2915 | 2006-06-18 |
| 1821285842 | Nucara Long Term Care Pharmacy, LLC | Pharmacy | 2400 4th St Sw, Mason City, IA 50401-4664 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013546308 | Hy Vee Inc | Pharmacy | 911 S K Ave, Vinton, IA 52349-1073 | 2020-04-07 |
| 1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
| 1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
| 1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
| 1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
| 1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
| 1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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| 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.