Mercy Pharmacy Group, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MERCY PHARMACY GROUP, INC

Doing business as

CARSON PHARMACY

Practice address

21720 S Vermont Ave
Suite 101
Torrance, CA 90502-2127

Phone

(310) 328-0982

Fax

(310) 328-8080

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Jean Ly, PHARM.D.

Title

President

Phone

(310) 328-0982

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CARSON PHARMACY Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1629184007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 S VERMONT AVE",
            "address_2": "SUITE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022127",
            "telephone_number": "310-328-0982",
            "fax_number": "310-328-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 S VERMONT AVE",
            "address_2": "SUITE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022127",
            "telephone_number": "310-328-0982",
            "fax_number": "310-328-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHARMACY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-328-0982",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA223530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Scott Mense
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• Sidney Alan Mercado, MD
• Lidia Nikita Mercedes Walters, MSW,ASW
• Richard W Merel, M.D.
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• Meridian Medical Group, P.C.
• Emmanuel Lopez Merrera, RN

• Community/Retail Pharmacy in Torrance, CA
• Providers in Torrance, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.