MERCY MEMORIAL HOSPITAL CORPORTATION (NPI# 1730218629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730218629 |
| Entity Type | Organization |
| Organization Name | MERCY MEMORIAL HOSPITAL CORPORTATION |
| Other Organization Name | MERCY MACOMB PHARMACY |
| Practice Address |
718 N Macomb St Suite 305 Monroe MI 48162-7815 |
| Practice Telephone | 7372404100 |
| Mailing Telephone | 7372404100 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PETER LIEBNER (PHARMACIST) |
| Authorized Official Telephone | 7342404100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 580030 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DEA | BM3109445 | 01 |
| MI | 2825862 | 05 | |
| MI | NABP | 2349783 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Macomb Pharmacy | Doing Business As Name - Organization |
| Street Address |
718 N MACOMB ST SUITE 305 |
| City | MONROE |
| State | MI |
| Zip Code | 48162-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781300 | Mark D Sherrard | Family Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2005-06-28 |
| 1841801222 | Vijaya Lakshmi Lakshmi Thotakura | Physician Assistant | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-08-11 |
| 1952928467 | Edwin David | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-30 |
| 1255957494 | Nicole Philippon | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-23 |
| 1407471451 | Joseph Hoeksema | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-15 |
| 1366067779 | Megan Wolbers | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
| 1598380909 | Himat Singh Gill | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
| 1659996221 | Nathaniel Lucey | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-10 |
| 1497370068 | Krysten Hinton | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-10 |
| 1598380123 | Paul Van Truong | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| 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 |
|---|---|---|---|---|
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1790207348 | Monroe Care Pharmacy LLC | Pharmacy | 209 Applegarth Rd, Suite 105, Monroe, NJ 08831 | 2017-07-14 |
| 1851828065 | Affinity Pharmacy At Oliver Road | Pharmacy | 920 Oliver Rd Waiting E, Monroe, LA 71201 | 2017-05-18 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1174888689 | Pharmacy Acquisition Company LLC | Pharmacy | 108 E Sunset Dr, Monroe, NC 28112-6057 | 2012-07-10 |
| 1538466545 | Monroe Family Pharmacy Inc | Pharmacy | 14750 Laplaisance Rd, Ste 270, Monroe, MI 48161-3899 | 2011-02-28 |
| 1184876658 | Monroe Med/rx Pharmacy, P.C. | Pharmacy | 337 Stewart Rd Ste 1, Ste 1, Monroe, MI 48162 | 2008-10-16 |
| 1437341732 | Thompson's Family Pharmacy | Pharmacy | 2056 Highway 139, Monroe, LA 71203-6695 | 2007-08-10 |
| 1023173440 | Healthway Enterprises Inc | Pharmacy | 751 E Roosevelt Blvd, Monroe, NC 28112-5133 | 2006-12-26 |
| 1184786766 | S & S Pharmacy Enterprise Inc. | Pharmacy | 809 Winnsboro Rd, Monroe, LA 71202-3444 | 2006-12-14 |
| Find all providers in MONROE | ||||
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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.