Active NPI
Mercy Home Infusion Pharmacy
- Home Infusion Agency
- Mason City, IA
National Provider Identifier
1912950239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- 1369
- Legal business name
- MERCY HOME INFUSION PHARMACY
- Practice address
- 1000 4TH St SW
Mason City, IA 50401 - Phone
- (641) 428-5732
- Fax
- (641) 428-7431
- NPI assigned
- May 18, 2006
- Organization subpart
- Yes
- Parent organization
- MERCY MEDICAL CENTER-NORTH IOWA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abby E Bauman, PHARMD
- Title
- Pharmacist in Charge
- Phone
- (641) 428-5732
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 1369 | IA | Primary |
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
1000 4TH St SW
Mason City, IA 50401
Mailing address
1000 4TH St SW
Mason City, IA 50401
Phone (641) 428-5732
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40932 | Other | IA | WELLMARK-BCBS |
| 0015252 | Medicaid | IA |
Other names 1
- Mercy Medical Center-North Iowa
National Provider Directory
National Provider Directory- Part of
- Mercy Health Services
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": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399593600000",
"number": "1912950239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "50401",
"telephone_number": "641-428-5732",
"fax_number": "641-428-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "50401",
"telephone_number": "641-428-5732",
"fax_number": "641-428-7431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HOME INFUSION PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERCY MEDICAL CENTER-NORTH IOWA",
"enumeration_date": "2006-05-18",
"last_updated": "2014-05-09",
"status": "A",
"authorized_official_last_name": "BAUMAN",
"authorized_official_first_name": "ABBY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "641-428-5732",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "IA",
"license": "1369",
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK-BCBS",
"identifier": "40932",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015252",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Medical Center-North Iowa",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mason City, IA
- Mercy Health Services-Iowa Corp.
- Mercy Health Services-Iowa Corp.
- Mercy Health Services-Iowa Corp.
- Mercy Health Services/Iowa Corp
- Mercy Health Services/Iowa Corp.
- Mercy Medical Center North Iowa
- Mercy Medical Center North Iowa
- Mercy Medical Center North Iowa
- Mark Donald Meyer, M.D.
- Michael W. Barba
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.