MERCY HEALTH SERVICES, LLC (NPI# 1790096683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790096683 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SERVICES, LLC |
| Practice Address |
15945 Clayton Rd Suite 140 Ballwin MO 63011-2146 |
| Practice Telephone | 6362565111 |
| Practice Fax Number | 6362565196 |
| Mailing Telephone | 6362565111 |
| Mailing Fax Number | 6362565196 |
| Enumeration Date | 2010-06-25 |
| 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 | 2010028453 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1790096683 | 05 | |
| MO | NCPDP | 2639132 | 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 |
| 1548251929 | Mercy Health Services, LLC | Pharmacy | 12348 Old Tesson Rd, Suite 100, Saint Louis, MO 63128-2215 | 2005-11-03 |
| 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 |
| 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 |
15945 CLAYTON RD SUITE 140 |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031129 | Cara Hahs | Surgery | 15945 Clayton Rd, Suite 120, Ballwin, MO 63011-2490 | 2005-11-28 |
| 1598156820 | Laura Hooper | Nurse Practitioner | 15945 Clayton Rd, Suite 120, Ballwin, MO 63011-2490 | 2015-02-09 |
| 1215352117 | Erica Amelia Lammert | Registered Nurse | 15945 Clayton Rd, Suite 305, Ballwin, MO 63011-2490 | 2014-02-28 |
| 1720332893 | Regeneration Orthopedics, LLC | Anesthesiology | 15945 Clayton Rd, Ste 220, Ballwin, MO 63011-2490 | 2012-10-29 |
| 1518261585 | Foot & Ankle Center, LLC | Podiatrist | 15945 Clayton Rd, Suite 220, Ballwin, MO 63011-2490 | 2011-01-05 |
| 1447568043 | Center for Advanced Foot & Ankle Surgery Inc | Durable Medical Equipment & Medical Supplies | 15945 Clayton Rd, Ballwin, MO 63011-2146 | 2010-09-16 |
| 1942479894 | Mojdeh Zahedi | Family Medicine | 15945 Clayton Rd, Suite 310, Ballwin, MO 63011-2490 | 2008-02-25 |
| 1285831164 | Lauren Bush King | Internal Medicine | 15945 Clayton Rd, Suite 340, Ballwin, MO 63011-2490 | 2007-07-02 |
| 1679779219 | Syed Zia Ul Huq | Internal Medicine | 15945 Clayton Rd, Suite 120, Ballwin, MO 63011-2490 | 2007-06-21 |
| 1306984505 | Brian L. Mahaffey | Orthopaedic Surgery | 15945 Clayton Rd, Suite 210, Ballwin, MO 63011-2490 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| 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 |
|---|---|---|---|---|
| 1174612840 | Dierbergs Markets Inc | Pharmacy | 421 Lafayette Ctr, Ballwin, MO 63011-3943 | 2006-10-12 |
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| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1689207870 | Washington University Cancer Center Pharmacy - North County | Pharmacy | 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 | 2020-02-17 |
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1427606912 | Medley Pharmacy Inc | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-08-28 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
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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.