MERCY PHARMACY SERVICES, LLC (NPI# 1649799560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649799560 |
Entity Type | Organization |
Organization Name | MERCY PHARMACY SERVICES, LLC |
Other Organization Name | MERCY SPECIALTY AND HOME INFUSION PHARMACY SPRINGFIELD |
Practice Address |
2115 S Fremont Ave Ste 5200 Springfield MO 65804-2239 |
Mailing Address |
2115 S Fremont Suite 5200 Springfield MO 65804 |
Practice Telephone | 4178207099 |
Practice Fax Number | 4178208178 |
Enumeration Date | 2017-09-12 |
Last Update Date | 2020-03-31 |
Authorized Official Name | MR. MARK JAEGER (VP AMBULATORY AND SPECIALTY PHARMAC) |
Authorized Official Telephone | 3147091957 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251F00000X | Home Infusion | Agencies | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 333600000X | Pharmacy | MO | Suppliers | |
N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
MO | Suppliers | |
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
MO | Suppliers | |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 628578700 | 05 | |
MO | 600135412 | 05 |
Other Name | Type Code |
---|---|
Mercy Home Infusion | Other Name - Individual/Organization |
Mercy Specialty and Home Infusion Pharmacy Springfield | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326566464 | Mercy Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 3183 Riverport Tech Center Dr, Maryland Heights, MO 63043-4825 | 2017-09-08 |
1366969040 | Mercy Pharmacy Services, LLC | Pharmacy | 851 E 5th St Ste 104, Washington, MO 63090-3128 | 2017-08-24 |
1730606401 | Mercy Pharmacy Services, LLC | Pharmacy | 12680 Olive Blvd Ste 150, Saint Louis, MO 63141-6364 | 2017-08-24 |
1457878126 | Mercy Pharmacy Services, LLC | Pharmacy | 15945 Clayton Rd Ste 140, Ballwin, MO 63011-2490 | 2017-08-24 |
1487171153 | Mercy Pharmacy Services, LLC | Pharmacy | 12348 Old Tesson Rd Ste 100, Saint Louis, MO 63128-2251 | 2017-08-24 |
1902323678 | Mercy Pharmacy Services, LLC | Pharmacy | 621 S New Ballas Rd Ste 20a, Saint Louis, MO 63141-8251 | 2017-08-24 |
1184141863 | Mercy Pharmacy Services, LLC | Pharmacy | 1400 Us Highway 61 Ste S1100, Festus, MO 63028-4100 | 2017-08-24 |
1497272165 | Mercy Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 607 S New Ballas Rd Ste 1415, Saint Louis, MO 63141-8231 | 2017-08-24 |
1740707504 | Mercy Pharmacy Services, LLC | Pharmacist | 1965 S Fremont Ave Ste 140, Springfield, MO 65804-2216 | 2017-08-23 |
1518484385 | Mercy Pharmacy Services, LLC | Pharmacist | 3231 S National Ave Ste 110, Springfield, MO 65807-7304 | 2017-08-23 |
Street Address |
2115 S FREMONT AVE STE 5200 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65804-2239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
Find all providers in zip 65804 |
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 |
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1386205524 | Quinate Pharmacy LLC | Pharmacy | 1569 Ga Highway 21 S, Springfield, GA 31329-5214 | 2019-06-27 |
1295209443 | St Johns Hospital of The Hospital Sisters of The Third Order of St F | Pharmacy | 400 N 9th St Ste 1500, Springfield, IL 62702-5310 | 2019-01-21 |
1770093122 | Genoa Healthcare, LLC | Pharmacy | 417 Liberty St Ste 1b, Springfield, MA 01104-3739 | 2017-10-11 |
1316483266 | Springfield Clinic, LLP | Pharmacy | 900 N 1st St Rm 4066, Springfield, IL 62702-3749 | 2017-01-17 |
1194277681 | Grove Professional Pharmacy, Inc | Pharmacy | 1636 S Glenstone Ave Ste 108, Springfield, MO 65804-1512 | 2016-10-31 |
1962852012 | Main Sail Enterprises South LLC | Pharmacy | 222 E Primrose St Ste B, Springfield, MO 65807-5233 | 2016-06-20 |
1588042816 | Main Sail Enterprises-downtown LLC | Pharmacy | 655 S Campbell Ave, Springfield, MO 65806-2901 | 2015-05-06 |
1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
1932529716 | Walgreen Co | Pharmacy | 440 E Tampa St Ste 100, Springfield, MO 65806-1131 | 2014-04-21 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65804 |
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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.