Active NPI
Mercy Health Services, LLC
- Pharmacy
- Saint Louis, MO
National Provider Identifier
1164413530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2002001524
- Legal business name
- MERCY HEALTH SERVICES, LLC
- Practice address
- 621 S New Ballas Rd
Suite #20a
Saint Louis, MO 63141-8232 - Phone
- (314) 251-7444
- NPI assigned
- Nov 3, 2005
- Organization subpart
- Yes
- Parent organization
- MHM SUPPORT SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Berry
- Title
- Exec Dir-Retail Pharmacy SVCS
- Phone
- (314) 628-5606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2002001524 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd
Suite #20a
Saint Louis, MO 63141-8232
Mailing address
621 S New Ballas Rd
Suite #20a
Saint Louis, MO 63141-8232
Phone (314) 251-7444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600567416 | Medicaid | MO | |
| 2605852 | Other | MO | NCPDP |
National Provider Directory
National Provider Directory- Part of
- MHM Support Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510272000000",
"number": "1164413530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "SUITE #20A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "SUITE #20A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-7444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MHM SUPPORT SERVICES",
"enumeration_date": "2005-11-03",
"last_updated": "2017-11-10",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "EXEC DIR-RETAIL PHARMACY SVCS",
"authorized_official_telephone_number": "314-628-5606"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MO",
"license": "2002001524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600567416",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2605852",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.