Active NPI
Mercy Hospital Springfield
- Community/Retail Pharmacy
- Springfield, MO
National Provider Identifier
1598712366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 000953
- Legal business name
- MERCY HOSPITAL SPRINGFIELD
- Practice address
- 1235 E Cherokee St
Springfield, MO 65804-2203 - Phone
- (417) 820-2752
- Fax
- (417) 820-8299
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Berry
- Title
- Exec Dir-Retail Pharmacy SVCS
- Phone
- (314) 628-5606
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 000953 | MO | Primary |
Addresses
Primary practice location
1235 E Cherokee St
Springfield, MO 65804-2203
Mailing address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2752
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2049610 | Other | PK | |
| 600135404 | Medicaid | MO |
Other names 1
- Mercy Pharmacy-Springfield
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509494400000",
"number": "1598712366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 E CHEROKEE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042203",
"telephone_number": "417-820-2752",
"fax_number": "417-820-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 E CHEROKEE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042203",
"telephone_number": "417-820-2752",
"fax_number": "417-820-8299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HOSPITAL SPRINGFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2017-11-01",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "000953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2049610",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600135404",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Pharmacy-Springfield",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.