Mercy Community Sevices Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

209814 Issued in KS

Legal business name

MERCY COMMUNITY SEVICES INC

Doing business as

Mercy Pharmacy Fort Scott

Practice address

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797

Phone

(620) 223-7075

Fax

(620) 223-7050

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Dunshee, RPH

Title

Pic

Phone

(620) 223-7075

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• MERCY PHARMACY FORT SCOTT Doing business as

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1205988557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "620-223-7075",
            "fax_number": "620-223-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "620-223-7075",
            "fax_number": "620-223-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY COMMUNITY SEVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "DUNSHEE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "620-223-7075",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "209814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10042220B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606098507",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY PHARMACY FORT SCOTT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Clem McGhee, MS, LCPC
• Dana Marshall McKenney, ARNP
• Charles Henley Medbery, MD
• Medicalodges, Inc. (Community Care Connections Ft. Scott)
• Medicalodges, Inc. (Medicalodges Ft. Scott)
• Mercy Health System of Kansas Inc.
• Mercy Kansas Communities Inc
• Mercy Kansas Communities Inc
• Mercy Kansas Communities Inc
• Mercy Kansas Communities Inc

• Community/Retail Pharmacy in Fort Scott, KS
• Providers in Fort Scott, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.