Organization Active NPI

Mercy Hospital Springfield

Doing business as Mercy Pharmacy-St James

  • Pharmacy
  • Saint James, MO
National Provider Identifier
1770528382
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2011020757 Issued in MO
Legal business name
MERCY HOSPITAL SPRINGFIELD
Doing business as
Mercy Pharmacy-St James
Practice address
105 W Eldon St
Saint James, MO 65559-1903
Phone
(573) 265-8901
Fax
(573) 265-8310
NPI assigned
Jun 18, 2006
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Mr. Patrick Berry
Title
Chief Operating Officer
Phone
(314) 628-5606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 2011020757 MO
Pharmacy 333600000X 2011020757 MO Primary

Addresses

Primary practice location

105 W Eldon St
Saint James, MO 65559-1903

Mailing address

105 W Eldon St
Saint James, MO 65559-1903
Phone (573) 265-8901

Other names 1

  • Mercy Pharmacy-St James Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1770528382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W ELDON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591903",
            "telephone_number": "573-265-8901",
            "fax_number": "573-265-8310"
        },
        {
            "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": "573-265-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "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": "2011020757",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2011020757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy-St James",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint James, MO

Sources for this page

  • 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.