NPIMap

Organization Active NPI

Mercer Ms LLC

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Mercer, PA
National Provider Identifier
1376721175
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410839L Issued in PA
Legal business name
MERCER MS LLC
Doing business as
Medicine Shoppe
Practice address
315 South Erie Street
Suite a
Mercer, PA 16137
Phone
(724) 662-2240
Fax
(724) 662-1904
NPI assigned
Feb 4, 2008
Last updated
Mar 7, 2023By the provider in NPPES
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
Judith Derrick, RPHNPI 1437451960
Title
Vice President / Secretary / Treasu
Phone
(724) 866-5814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PA
Community/Retail Pharmacy 3336C0003X PP410839L PA Primary

Addresses

Primary practice location

315 South Erie Street
Suite a
Mercer, PA 16137

Mailing address

315 South Erie Street
Suite a
Mercer, PA 16137
Phone (724) 662-2240

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

315 S Erie St
Ste A
Mercer, PA 16137
Phone (724) 662-2240

533 Greenville Rd
Mercer, PA 16137
Phone (724) 662-2240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376721175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SOUTH ERIE STREET",
            "address_2": "SUITE A",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "16137",
            "telephone_number": "724-662-2240",
            "fax_number": "724-662-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SOUTH ERIE STREET",
            "address_2": "SUITE A",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "16137",
            "telephone_number": "724-662-2240",
            "fax_number": "724-662-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DERRICK",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "VICE PRESIDENT / SECRETARY / TREASU",
        "authorized_official_telephone_number": "724-866-5814",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410839L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercer, PA

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.