NPIMap

Organization Active NPI

Mercy Hospital Ada Pharmacy

  • Institutional Pharmacy
  • Ada, OK
National Provider Identifier
1992134852
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
23-6325 Issued in OK
Legal business name
MERCY HOSPITAL ADA PHARMACY
Practice address
430 N Monte Vista St
Ada, OK 74820-4610
Phone
(580) 421-1508
Fax
(580) 421-6035
NPI assigned
Nov 1, 2013
Last updated
Nov 1, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Mr. Sidney Michael O'Grady, D.PH.NPI 1396881686
Title
Director of Pharmacy
Phone
(580) 421-1508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 23-6325 OK Primary

Addresses

Primary practice location

430 N Monte Vista St
Ada, OK 74820-4610

Mailing address

430 N Monte Vista Ave
Ada, OK 74820-4610
Phone (580) 421-1508

Other identifiers 1

IdentifierTypeStateIssuer
3703368OtherOKNCPDP

Other names 1

  • Mercy Hospital Ada, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Ada Inc8 organizations share this tax ID, including this one
Part of
Mercy Hospital Ada Inc

Other organizations with this tax ID 7

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

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": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1992134852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204610",
            "telephone_number": "580-421-1508",
            "fax_number": "580-421-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204610",
            "telephone_number": "580-421-1508",
            "fax_number": "580-421-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL ADA PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "O'GRADY",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "580-421-1508",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "OK",
            "license": "23-6325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3703368",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital Ada, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.