Mercy Hospital Springfield

Key facts

NPI

1770528382

Entity type

Organization (NPI type 2)

Primary specialty

Pharmacy 333600000X

License

2011020757 (MO)

Legal business name

MERCY HOSPITAL SPRINGFIELD

Practice address

105 W Eldon St
Saint James, MO 65559-1903

Phone

(573) 265-8901

Fax

(573) 265-8310

NPI assigned

Jun 18, 2006

Organization subpart

No

Authorized official

Name

Mr. Patrick Berry

Title

Chief Operating Officer

Phone

(314) 628-5606

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• Mercy Pharmacy-St James Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 1, 2017.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600243901",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "2627074",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy-St James",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint James, MO

• Gregory V. Maynard, D.O.
• Megan McBride, FNP
• Beverly McKee, LCSW
• Debby L. McWhorter, LPC
• Mercy Clinic Springfield Communities
• Mercy Pharmacy Services, LLC
• Missouri Veterans Commission
• Mitchell Clinic LLC
• Gerry Dewayne Mitchell, D.C.
• Sheryl Lynne Musgrove, M.ED., PLPC, NCC

All providers in Saint James, MO · Pharmacy in Missouri