Mercy Hospital Springfield

Primary specialty

PharmacistTaxonomy code 183500000X

License

2005012026 Issued in MO

Legal business name

MERCY HOSPITAL SPRINGFIELD

Practice address

940 West Mt. Vernon
Suite 130
Nixa, MO 65714

Phone

(417) 724-5350

Fax

(417) 724-5354

NPI assigned

Jun 8, 2006

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 1

Addresses

Other identifiers 1

Other names 1

• Mercy Pharmacy-Nixa Doing business as

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1770523490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "address_2": "ATTN: ROB SHOCKLEY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-6624",
            "fax_number": "417-820-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 WEST MT. VERNON",
            "address_2": "SUITE 130",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "65714",
            "telephone_number": "417-724-5350",
            "fax_number": "417-724-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-11-03",
        "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": "2005012026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606198406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy-Nixa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Paul McLauchlin, DDS
• Bethany Ann Meade
• Medcare Home Medical LLC
• Menm, LLC
• Mercy Clinic-Springfield Communities
• Mercy Pharmacy Services, LLC
• Richard Grandville Michael, RPH
• Michelle Dearinger-Davis DDS LLC
• Rachelene Middleton, MD
• Midwest Respiratory Care Inc

• Pharmacist in Nixa, MO
• Providers in Nixa, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.