Mercy Hospital Springfield

Primary specialty

PharmacyTaxonomy code 333600000X

License

2011020756 Issued in MO

Legal business name

MERCY HOSPITAL SPRINGFIELD

Doing business as

Mercy Pharmacy-St Robert

Practice address

586 Old Route 66
St Robert, MO 65584-3729

Phone

(573) 336-2180

Fax

(573) 336-3529

NPI assigned

May 28, 2006

Last updated

Nov 1, 2017By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Mercy Pharmacy-St Robert Doing business as

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1659328268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 OLD ROUTE 66",
            "address_2": "PO BOX 1170",
            "city": "ST ROBERT",
            "state": "MO",
            "postal_code": "655843729",
            "telephone_number": "573-336-2180",
            "fax_number": "573-336-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 OLD ROUTE 66",
            "city": "ST ROBERT",
            "state": "MO",
            "postal_code": "655843729",
            "telephone_number": "573-336-2180",
            "fax_number": "573-336-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "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": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2011020756",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2011020756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "2634815",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605986702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy-St Robert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Mendoza
• Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine-St. Robert)
• Mercy Clinic Springfield Communities (Mercy Clinic-St. Robert)
• Mercy Hospital Lebanon (Mercy Clinic-St Robert)
• Mercy Hospital Springfield (Mercy Medical Supply)
• Mercy Pharmacy Services, LLC
• Angela Meyers, PHD, LPC
• Jamie Miller
• Molly Montero
• Jon G. Moore, PA-C

• Pharmacy in Saint Robert, MO
• Providers in Saint Robert, MO by specialty
• Pharmacy in Missouri

• 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.

Verify at the official NPI Registry.