Active NPI
Mercy Pharmacy Services, LLC
- Community/Retail Pharmacy
- Yukon, OK
National Provider Identifier
1225899230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MERCY PHARMACY SERVICES, LLC
- Practice address
- 520 S Mustang Rd
Yukon, OK 73099-6737 - Phone
- (405) 256-6653
- NPI assigned
- Jan 17, 2024
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
520 S Mustang Rd
Yukon, OK 73099-6737
Mailing address
14528 S Outer 40 Rd Ste 100
Chesterfield, MO 63017-5743
Phone (314) 628-5627
Other names 1
- Mercy Pharmacy Yukon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170824002384 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 3375815483 |
This NPI is an additional NPI on the enrollment Practice locations: Rolla, MO; Saint Louis, MO; Saint Charles, MO; Saint Peters, MO; Saint Robert, MO; Sappington, MO; Springfield, MO; St Louis, MO… |
| O20250326000186 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 3375815483 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Yukon, OK; Oklahoma City, OK; Edmond, OK; Ardmore, OK |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1659063717
O20250326000186
-
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1104910363
O20250326000186
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769385600000",
"number": "1225899230",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996737",
"telephone_number": "405-256-6653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY PHARMACY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-17",
"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": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Pharmacy Yukon",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Yukon, OK
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.