Mercy Pharmacy Services LLC
Organization Active NPI Community/Retail Pharmacy · Crestwood, MO
NPI 1003520586 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1003520586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- MERCY PHARMACY SERVICES LLC
- Practice address
- 9555 Watson Rd
Suite a
Crestwood, MO 63126 - Phone
- (314) 628-5626
- NPI assigned
- Jan 10, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- MERCY PHARMACY SERVICES LLC
Authorized official
- Name
- Doug Malcolm, PHARMD, MHA
- Title
- Vice President
- Phone
- (303) 813-5532
Corporate family (same tax ID) 12
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mercy Pharmacy Crestwood |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Mercy Pharmacy Services LLC
- Part of
- Mercy Pharmacy Services LLC
Locations
14528 South Outer 40 Rd
Ste 110
Chesterfield, MO 63017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
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
- Mercy Pharmacy Crestwood
Other providers in Crestwood, MO
All providers in Crestwood, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.