NPIMap

Organization Active NPI

Mercy Health Services LLC

  • Specialty Pharmacy
  • Saint Louis, MO
National Provider Identifier
1316908403
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
2014005811 Issued in MO
Legal business name
MERCY HEALTH SERVICES LLC
Practice address
607 S New Ballas Rd
Suite 1415
Saint Louis, MO 63141-8219
Phone
(314) 251-5478
Fax
(314) 251-6375
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Patrick Berry
Title
Exec Dir-Retail Pharmacy SVCS
Phone
(314) 628-5606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X R4C88 MO
Specialty Pharmacy 3336S0011X 2014005811 MO Primary

Addresses

Primary practice location

607 S New Ballas Rd
Suite 1415
Saint Louis, MO 63141-8219

Mailing address

607 S New Ballas Rd
Suite 1415
Saint Louis, MO 63141-8219
Phone (314) 251-5478

Other identifiers 2

IdentifierTypeStateIssuer
1316908403MedicaidMO
2637633OtherNCPDP

National Provider Directory

National Provider Directory

Member of 1

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

Locations

607 S New Ballas Rd
Ste 1415
Saint Louis, MO 63141
Phone (314) 251-5478

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1316908403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "address_2": "SUITE 1415",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418219",
            "telephone_number": "314-251-5478",
            "fax_number": "314-251-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "address_2": "SUITE 1415",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418219",
            "telephone_number": "314-251-5478",
            "fax_number": "314-251-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-03-07",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "R4C88",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MO",
            "license": "2014005811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316908403",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2637633",
            "state": null
        }
    ],
    "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 Mar 7, 2023; 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.