NPIMap

Organization Active NPI

Mercy Health Services, LLC

  • Pharmacy
  • Washington, MO
National Provider Identifier
1508857996
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2003027642 Issued in MO
Legal business name
MERCY HEALTH SERVICES, LLC
Practice address
851 E 5TH St
Suite #104
Washington, MO 63090-3135
Phone
(636) 390-7333
Fax
(363) 390-7355
NPI assigned
Nov 3, 2005
Last updated
Nov 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Authorized official

Name
Patrick Berry
Title
Exec Dir-Retail Pharmacy SVCS
Phone
(314) 628-5606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2003027642 MO Primary

Addresses

Primary practice location

851 E 5TH St
Suite #104
Washington, MO 63090-3135

Mailing address

851 E 5TH St
Suite #104
Washington, MO 63090-3135
Phone (636) 390-7333

Other identifiers 2

IdentifierTypeStateIssuer
2635297OtherMONCPDP
600567416MedicaidMO

National Provider Directory

National Provider Directory

Member of 2

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": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1508857996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST",
            "address_2": "SUITE #104",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903135",
            "telephone_number": "636-390-7333",
            "fax_number": "363-390-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST",
            "address_2": "SUITE #104",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903135",
            "telephone_number": "636-390-7333",
            "fax_number": "363-390-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXEC DIR-RETAIL PHARMACY SVCS",
        "authorized_official_telephone_number": "314-628-5606"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2003027642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2635297",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600567416",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.