Organization Active NPI

Mercy Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Edwardsville, IL
National Provider Identifier
1427640820
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERCY PHARMACY SERVICES LLC
Practice address
6671 Edwardsville Crossing Dr
Edwardsville, IL 62025-2704
Phone
(618) 307-3817
Fax
(618) 307-3816
NPI assigned
Feb 7, 2021
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6671 Edwardsville Crossing Dr
Edwardsville, IL 62025-2704

Mailing address

14528 S Outer 40 Rd Ste 100
Chesterfield, MO 63017-5743
Phone (314) 628-5627

Other names 1

  • MERCY PHARMACY EDWARDSVILLE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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…
O20210715002874 IL DME Supplier - Pharmacy 3375815483 Practice locations: Edwardsville, IL
O20250418000820 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3375815483 1 other NPI on this enrollment
Practice locations: Edwardsville, IL; Shiloh, IL

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mercy Pharmacy Services, LLC6671 Edwardsville Crossing Dr, Edwardsville, IL 62025-2704(618) 307-3817 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jul 1, 2017

National Provider Directory

National Provider Directory

Member of 1

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

Locations

6671 Edwardsville Crossing Dr
Edwardsville, IL 62025
Phone (618) 307-3817

1723 Broadway St
Ste 100
Cape Girardeau, MO 63701
Phone (573) 331-7900

817 S Mount Auburn Rd
Ste 130
Cape Girardeau, MO 63703
Phone (573) 519-4550

1730 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 537-9408

3183 Riverport Tech Center Dr
Maryland Heights, MO 63043
Phone (314) 506-6050

2021 Zumbehl Rd
Saint Charles, MO 63303
Phone (636) 947-0929

10010 Kennerly Rd
Fl 1
Saint Louis, MO 63128
Phone (314) 525-1633

11481 Olive Blvd
Saint Louis, MO 63141
Phone (314) 432-5708

615 S New Ballas Rd
#1270
Saint Louis, MO 63141
Phone (314) 251-6900

615 S New Ballas Rd
#I35
Saint Louis, MO 63141
Phone (405) 757-3395

8450 Eager Rd
Saint Louis, MO 63144
Phone (314) 962-9009

9555 Watson Rd
#A
Saint Louis, MO 63126
Phone (314) 628-5626

6211 Mid Rivers Mall Dr
#94
Saint Peters, MO 63304
Phone (636) 936-3020

1820 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 887-3317

2017 W I 35 Frontage Rd
Ste 120
Edmond, OK 73013
Phone (405) 757-3395

4401 McAuley Blvd
Ste 1700
Oklahoma City, OK 73120
Phone (405) 486-8727

5600 SE 67th St
Oklahoma City, OK 73135
Phone (314) 628-5627

Practitioners & affiliated clinicians

Practitioners 12

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": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1427640820",
    "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",
            "fax_number": "618-307-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 EDWARDSVILLE CROSSING DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252704",
            "telephone_number": "618-307-3817",
            "fax_number": "618-307-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY PHARMACY EDWARDSVILLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edwardsville, IL

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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.