Mercy Memorial Hospital Corportation

Primary specialty

PharmacyTaxonomy code 333600000X

License

580030 Issued in MI

Legal business name

MERCY MEMORIAL HOSPITAL CORPORTATION

Practice address

718 N Macomb St
Suite 305
Monroe, MI 48162-7815

Phone

(737) 240-4100

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Peter Liebner

Title

Pharmacist

Phone

(734) 240-4100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mercy Macomb Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730218629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "address_2": "SUITE 305",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627815",
            "telephone_number": "737-240-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "address_2": "SUITE 305",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627815",
            "telephone_number": "737-240-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEMORIAL HOSPITAL CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LIEBNER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "734-240-4100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "580030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2825862",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2349783",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Macomb Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Memorial Hospital Corporation
• Mercy Memorial Hospital Corporation
• Mercy Memorial Hospital Corporation
• Mercy Memorial Hospital Corporation
• Mercy Memorial Hospital Corporation
• Mercy Memorial Macomb Pharmacy
• Ryan L Meredith, MD
• Penny Merkle, CRNA
• Selena Metcalf
• Tiann Metcalf

• Pharmacy in Monroe, MI
• Providers in Monroe, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.