Mercy Pharmacy Services, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

2017027481 Issued in MO

Legal business name

MERCY PHARMACY SERVICES, LLC

Practice address

105 W Eldon St
Saint James, MO 65559-1903

Phone

(573) 265-8901

Fax

(573) 256-8310

NPI assigned

Aug 25, 2017

Last updated

Aug 25, 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 JAMES Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• MHM Support Services

  dba Mercy Specialty Pharmacy Oklahoma City

  • Specialty Pharmacy
  • Oklahoma City, OK
  • NPI 1861849804

  Member Of

  NPD member

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1699292144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 W BATTLEFIELD ST STE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W ELDON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591903",
            "telephone_number": "573-265-8901",
            "fax_number": "573-256-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "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": "MO",
            "license": "2017027481",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP#",
            "identifier": "2627074",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600243901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY PHARMACY ST JAMES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan McBride, FNP
• Beverly McKee, LCSW
• Debby L. McWhorter, LPC
• Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine-St. James)
• Mercy Hospital Springfield (Mercy Pharmacy-St James)
• Missouri Veterans Commission (Missouri Veterans Home-St. James)
• Mitchell Clinic LLC
• Gerry Dewayne Mitchell, D.C.
• Sheryl Lynne Musgrove, M.ED., PLPC, NCC
• Renai Myers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.