Organization Active NPI

Mercy Pharmacy LLC

Doing business as Mercy Pharmacy

  • Community/Retail Pharmacy
  • Denver, CO
National Provider Identifier
1821566712
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERCY PHARMACY LLC
Doing business as
Mercy Pharmacy
Practice address
2200 S Federal Blvd Unit 3
Denver, CO 80219-5472
Phone
(720) 923-6892
Fax
(720) 923-6892
NPI assigned
Nov 8, 2018
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Bichvan Nguyen Truong, PHARMACISTNPI 1578044129
Title
Owner
Phone
(720) 232-6735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2200 S Federal Blvd Unit 3
Denver, CO 80219-5472

Mailing address

2200 S Federal Blvd Unit 3
Denver, CO 80219-5472
Phone (720) 923-6892

Other identifiers 1

IdentifierTypeStateIssuer
9000169442MedicaidCO

Other names 1

  • Mercy Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181203002352 CO Part B Supplier - Pharmacy 6800130840 Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Tax ID family
Mercy Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2200 S Federal Blvd
Unit 3
Denver, CO 80219
Phone (720) 923-6892

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1821566712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S FEDERAL BLVD UNIT 3",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195472",
            "telephone_number": "720-923-6892",
            "fax_number": "720-923-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S FEDERAL BLVD UNIT 3",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195472",
            "telephone_number": "720-923-6892",
            "fax_number": "720-923-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "BICHVAN",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-232-6735",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000169442",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.