NPIMap

Organization Active NPI

Mercy Pharmacy Services LLC

Doing business as Mercy Pharmacy Crestwood

  • Community/Retail Pharmacy
  • Crestwood, MO
National Provider Identifier
1003520586
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERCY PHARMACY SERVICES LLC
Doing business as
Mercy Pharmacy Crestwood
Practice address
9555 Watson Rd
Suite a
Crestwood, MO 63126
Phone
(314) 628-5626
NPI assigned
Jan 10, 2023
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY PHARMACY SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Doug Malcolm, PHARMD, MHA
Title
Vice President
Phone
(303) 813-5532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9555 Watson Rd
Suite a
Crestwood, MO 63126

Mailing address

14528 S Outer 40 Rd
Chesterfield, MO 63017-5785
Phone (314) 628-5627

Other names 1

  • Mercy Pharmacy Crestwood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170824002384 MO Part B Supplier - Mass Immunization (Roster Biller Only) 3375815483 This NPI is an additional NPI on the enrollment
Practice locations: Rolla, MO; Saint Louis, MO; Saint Charles, MO; Saint Peters, MO; Saint Robert, MO; Sappington, MO; Springfield, MO; St Louis, MO…
O20230803002916 MO DME Supplier - Pharmacy 3375815483 Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mercy Pharmacy Crestwood9555 Watson Rd, Saint Louis, MO 63126-1532(314) 628-5626 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jul 1, 2017

National Provider Directory

National Provider Directory
Tax ID family
Mercy Pharmacy Services LLC54 organizations share this tax ID, including this one
Part of
Mercy Pharmacy Services LLC

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

14528 South Outer 40 Rd
Chesterfield, MO 63017
Phone (618) 307-3817

9555 Watson Rd
#A
Saint Louis, MO 63126
Phone (314) 628-5626

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1003520586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14528 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175785",
            "telephone_number": "314-628-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 WATSON RD",
            "address_2": "SUITE A",
            "city": "CRESTWOOD",
            "state": "MO",
            "postal_code": "63126",
            "telephone_number": "314-628-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHARMACY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY PHARMACY SERVICES LLC",
        "enumeration_date": "2023-01-10",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "303-813-5532",
        "authorized_official_credential": "PHARMD, MHA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy Crestwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Pharmacy Crestwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.