NPIMap

Organization Active NPI

Mercy Medical Center

Doing business as Hall Perrine Cancer Center Pharmacy

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
National Provider Identifier
1114923513
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERCY MEDICAL CENTER
Doing business as
Hall Perrine Cancer Center Pharmacy
Practice address
701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone
(319) 398-6343
Fax
(319) 862-1398
NPI assigned
Jun 22, 2005
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Timothy L Charles
Title
President and Ceo
Phone
(319) 398-6697

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1406 IA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

701 10TH St SE
Cedar Rapids, IA 52403-1251

Mailing address

701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone (319) 398-6343

Other identifiers 2

IdentifierTypeStateIssuer
2127514OtherPK
1114923513MedicaidIA

Other names 1

  • Hall Perrine Cancer Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120203000656 IA DME Supplier - Pharmacy 4183535271 Practice locations: Cedar Rapids, IA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 28)

2120 Edgewood Rd SW
Rm 12
Cedar Rapids, IA 52404
Phone (319) 398-6006

525 10th St SE
Cedar Rapids, IA 52403
Phone (319) 363-8303

5264 Council St NE
Ste 300
Cedar Rapids, IA 52402
Phone (319) 398-6020

5264 Council St NE
Ste 750
Cedar Rapids, IA 52402
Phone (319) 369-4455

5264 Council St NE
Ste 850
Cedar Rapids, IA 52402
Phone (319) 861-7740

5975 Rockwell Dr NE
Cedar Rapids, IA 52402
Phone (319) 398-6226

600 7th St SE
Fl First
Cedar Rapids, IA 52401
Phone (319) 861-7900

600 7th St SE
Ste 102
Cedar Rapids, IA 52401
Phone (319) 398-6651

600 7th St SE
Ste 103
Cedar Rapids, IA 52401
Phone (319) 398-6435

600 7th St SE
Ste 200
Cedar Rapids, IA 52401
Phone (319) 369-4542

701 10th St SE
Fl 2
Cedar Rapids, IA 52403
Phone (319) 398-6011

701 10th St SE
Fl 4
Cedar Rapids, IA 52403
Phone (319) 221-8400

701 10th St SE
Rm 1726
Cedar Rapids, IA 52403
Phone (319) 398-6011

701 10th St SE
Rm 1727
Cedar Rapids, IA 52403
Phone (319) 398-6011

701 10th St SE
Rm 1752
Cedar Rapids, IA 52403
Phone (319) 398-6011

777 76th Avenue Dr SW
Ste 500
Cedar Rapids, IA 52404
Phone (319) 558-0350

788 8th Ave SE
Ste 300
Cedar Rapids, IA 52401
Phone (319) 369-4542

1195 Boyson Rd
Ste 102
Hiawatha, IA 52233
Phone (319) 861-7740

1195 Boyson Rd
Ste 104
Hiawatha, IA 52233
Phone (319) 398-6661

1340 Blairs Ferry Rd
Unit A
Hiawatha, IA 52233
Phone (319) 398-6694

315 18th Ave
Hiawatha, IA 52233
Phone (319) 398-6011

9000 C Ave
Marion, IA 52302
Phone (319) 398-6435

999 35th St
Ste 101
Marion, IA 52302
Phone (319) 221-9998

999 35th St
Ste 102
Marion, IA 52302
Phone (319) 221-9996

1395 Jordan St
Rm Mmc
North Liberty, IA 52317
Phone (319) 665-2177

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Terrace Glen VillageMarion, IA, CCN 165625 Skilled nursing facility Adp of the SNF Nov 1, 2024
Hallmar VillageCedar Rapids, IA, CCN 165798 Skilled nursing facility Operational/Managerial Control (50%)
Adp of the SNF		 Aug 30, 2023
Oct 2, 2025
Mercy Home CareCedar Rapids, IA, CCN 167151 Home health agency Operational/Managerial Control Mar 19, 1962
Hospice of MercyHiawatha, IA, CCN 161512 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1989

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 404

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 404

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1114923513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-398-6343",
            "fax_number": "319-862-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-398-6343",
            "fax_number": "319-862-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "319-398-6697"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "1406",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127514",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114923513",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hall Perrine Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.