NPIMap

Organization Active NPI

Mercy Hospital Springfield

Doing business as Mercy Pharmacy-Fremont

  • Pharmacist
  • Springfield, MO
National Provider Identifier
1982644514
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
006618 Issued in MO
Legal business name
MERCY HOSPITAL SPRINGFIELD
Doing business as
Mercy Pharmacy-Fremont
Practice address
1965 S Fremont Ave
Suite 140
Springfield, MO 65804-2201
Phone
(417) 820-3577
Fax
(417) 820-3578
NPI assigned
Jun 8, 2006
Last updated
Nov 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 006618 MO Primary

Addresses

Primary practice location

1965 S Fremont Ave
Suite 140
Springfield, MO 65804-2201

Mailing address

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2754

Other identifiers 2

IdentifierTypeStateIssuer
601847809MedicaidMO
2620284OtherMONABP

Other names 1

  • Mercy Pharmacy-Fremont Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1982644514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-2754",
            "fax_number": "417-820-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE",
            "address_2": "SUITE 140",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042201",
            "telephone_number": "417-820-3577",
            "fax_number": "417-820-3578"
        }
    ],
    "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": "006618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601847809",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2620284",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy-Fremont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • 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.