Mercy Services Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

161179-13 Issued in OR

Legal business name

MERCY SERVICES CORPORATION

Practice address

2475 NW Stewart Pkwy
Roseburg, OR 97470-1596

Phone

(541) 677-2300

Fax

(541) 677-2301

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

John S. Kasberger

Title

Vice President/Cfo

Phone

(541) 677-2458

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Parkway Pharmacy Other name

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1043321375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711596",
            "telephone_number": "541-677-2300",
            "fax_number": "541-677-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701596",
            "telephone_number": "541-677-2300",
            "fax_number": "541-677-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "KASBERGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "541-677-2458"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "161179-13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277-736",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mercy Institute of Rehabilitation
• Mercy Medical Center
• Mercy Medical Center Inc.
• Mercy Medical Center, Inc.
• Mercy Medical Center, Inc.
• Mercy Services Corporation
• Meredith Krugel LCSW PC
• Thomas P Metzger
• Michael Douglas Metzler, CADC I
• Lydia Corine Meyer, CADC 1

• Community/Retail Pharmacy in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.