Organization Active NPI

Mercy Health Services LLC

Doing business as Mercy Home Infusion

  • Home Infusion Agency
  • Earth City, MO
National Provider Identifier
1346325032
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
006006 Issued in MO
Legal business name
MERCY HEALTH SERVICES LLC
Doing business as
Mercy Home Infusion
Practice address
13185 Lakefront Dr
Suite 120
Earth City, MO 63045-1510
Phone
(314) 506-6050
Fax
(314) 506-6284
NPI assigned
Oct 25, 2006
Last updated
Dec 2, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Mr. Robert Dennis Street, MBA, RPH
Title
Pharmacst-in-Charge
Phone
(314) 506-6149

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Home Infusion Agency 251F00000X 006006 MO Primary
Specialty Pharmacy 3336S0011X 006006 MO

Addresses

Primary practice location

13185 Lakefront Dr
Suite 120
Earth City, MO 63045-1510

Mailing address

13185 Lakefront Dr
Suite 120
Earth City, MO 63045-1510
Phone (314) 506-6050

Other names 1

  • Mercy Home Infusion Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy Health Services LLC

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1346325032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13185 LAKEFRONT DR",
            "address_2": "SUITE 120",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451510",
            "telephone_number": "314-506-6050",
            "fax_number": "314-506-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13185 LAKEFRONT DR",
            "address_2": "SUITE 120",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451510",
            "telephone_number": "314-506-6050",
            "fax_number": "314-506-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH SERVICES LLC",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PHARMACST-IN-CHARGE",
        "authorized_official_telephone_number": "314-506-6149",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, RPH"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MO",
            "license": "006006",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MO",
            "license": "006006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Earth City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.