Mercy Pharmacy Services, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12-7475 Issued in OK

Legal business name

MERCY PHARMACY SERVICES, LLC

Practice address

1011 14TH Ave NW
Ardmore, OK 73401-1828

Phone

(580) 220-6250

Fax

(580) 220-6251

NPI assigned

May 26, 2015

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 identifiers 2

Other names 1

• Mercy Pharmacy Ardmore Doing business as

Medicare fee-for-service enrollment

Enrolled in MO, OK2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 5

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

• Mercy Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Oklahoma City, OK
  • NPI 1659063717

  O20250326000186

  Same enrollment
• Mercy Pharmacy Services, LLC

  • Community/Retail Pharmacy
  • Oklahoma City, OK
  • NPI 1104910363

  O20250326000186

  Same enrollment
• Mercy Pharmacy Services, LLC

  • Community/Retail Pharmacy
  • Yukon, OK
  • NPI 1225899230

  O20250326000186

  Same enrollment
• Mercy Pharmacy Services, LLC

  • Community/Retail Pharmacy
  • Edmond, OK
  • NPI 1306265640

  O20250326000186

  Same enrollment
• Mercy Pharmacy Services, LLC

  • Specialty Pharmacy
  • Oklahoma City, OK
  • NPI 1699294629

  O20250326000186

  Same enrollment

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1396124236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14528 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175785",
            "telephone_number": "314-628-5627",
            "fax_number": "580-220-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 14TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011828",
            "telephone_number": "580-220-6250",
            "fax_number": "580-220-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "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": "OK",
            "license": "12-7475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152488",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262320",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy Ardmore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Latoya Meyer
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• Miguel a. Camacho, MD P.C.
• Lexx Miles

• Community/Retail Pharmacy in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• 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.

Verify at the official NPI Registry.