NPIMap

Mercy Hospital Springfield

Organization Active NPI Pharmacist · Springfield, MO

NPI 1477500213 · NPPES record last updated Jan 31, 2012

Key facts

NPI
1477500213
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacist 183500000X
License
006622 (MO)
Legal business name
MERCY HOSPITAL SPRINGFIELD
Practice address
3231 S National Ave
Suite 110
Springfield, MO 65807-7304
Phone
(417) 841-0116
Fax
(417) 888-5609
NPI assigned
May 27, 2006
Organization subpart
No

Authorized official

Name
Ms. Jay Guffey
Title
Coo
Phone
(417) 820-2520

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Southwest Medical CLN (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193200000X MULTI-SPECIALTY GROUP		 183500000X 006622 MO Yes

Addresses

Primary practice location

3231 S National Ave
Suite 110
Springfield, MO 65807-7304

Mailing address

3231 S National Ave
Suite 110
Springfield, MO 65807-7304
Phone (417) 841-0116

Other identifiers

IdentifierTypeStateIssuer
2602135OtherMONABP #
607682101MedicaidMO

Other names

  • Mercy Pharmacy-SGC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2012.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1477500213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 S NATIONAL AVE",
            "address_2": "SUITE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077304",
            "telephone_number": "417-841-0116",
            "fax_number": "417-888-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S NATIONAL AVE",
            "address_2": "SUITE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077304",
            "telephone_number": "417-841-0116",
            "fax_number": "417-888-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "GUFFEY",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "417-820-2520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "006622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "2602135",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607682101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy-SGC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

All providers in Springfield, MO · Pharmacist in Missouri

Sources for this page

Verify at the official NPI Registry.