Mercy Pharmacy Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MERCY PHARMACY SERVICES LLC

Practice address

4000 Green Mount Crossing Dr
Shiloh, IL 62269-7287

Phone

(618) 628-8085

Fax

(636) 530-3000

NPI assigned

Feb 7, 2021

Organization subpart

No

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

Authorized official

Name

Doug Malcolm, PHARMD, MHA

Title

Vice President

Phone

(303) 813-5532

Specialties & licenses 2

Addresses

Other names 1

• MERCY PHARMACY GREEN MOUNT Other name

Medicare fee-for-service enrollment

Enrolled in MO, IL3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mercy Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Edwardsville, IL
  • NPI 1427640820

  O20250418000820

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• MHM Support Services

  • Specialty Pharmacy
  • Oklahoma City, OK
  • NPI 1861849804

  Member Of

  NPD member

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1225620636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14528 S OUTER 40 RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175743",
            "telephone_number": "314-628-5627",
            "fax_number": "636-530-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 GREEN MOUNT CROSSING DR",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697287",
            "telephone_number": "618-628-8085",
            "fax_number": "636-530-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "303-813-5532",
        "authorized_official_credential": "PHARMD, MHA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY PHARMACY GREEN MOUNT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kilauren Carol McMahon, PA
• Griffin McQuality, DC
• Nathan John Meckel, DC
• Ashley N Mehochko, MSN, APRN, FNP-BC
• Arkady Melikyan, MD
• Metro East Dermatology & Skin Cancer Center LLC
• Metro-East Services, Inc.
• Mitas LLC
• David L Mitchell, M.D.
• Tracy Rene Moore, LPN,CSFA

• Community/Retail Pharmacy in Shiloh, IL
• Providers in Shiloh, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.