MERCY HEALTH SERVICES, LLC (NPI# 1063831287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063831287 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SERVICES, LLC |
| Practice Address |
1203 Smizer Mill Rd Suite 101 Fenton MO 63026-3483 |
| Practice Telephone | 6367171491 |
| Practice Fax Number | 6367171492 |
| Mailing Telephone | 6367171491 |
| Mailing Fax Number | 6367171492 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2017-11-10 |
| Authorized Official Name | MR. JOHN P HYATT (GENERAL MANAGER RETAIL PHARMACY) |
| Authorized Official Telephone | 3142517445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083003420 | Mercy Health Services, LLC | Home Health | 1005 E Cherry St, Troy, MO 63379-1503 | 2015-01-22 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1548251929 | Mercy Health Services, LLC | Pharmacy | 12348 Old Tesson Rd, Suite 100, Saint Louis, MO 63128-2215 | 2005-11-03 |
| 1255781241 | Mercy Health Services, LLC | Pharmacy | 901 Patients First Dr, Suite 1400, Washington, MO 63090-4700 | 2016-06-21 |
| 1568729150 | Mercy Health Services, LLC | Pharmacy | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2012-04-19 |
| 1790096683 | Mercy Health Services, LLC | Pharmacy | 15945 Clayton Rd, Suite 140, Ballwin, MO 63011-2146 | 2010-06-25 |
| 1164567897 | Mercy Health Services, LLC | Optometrist | 851 E 5th St, Suite 112, Washington, MO 63090-3135 | 2007-02-20 |
| 1992881973 | Mercy Health Services, LLC | Optometrist | 621 S New Ballas Rd, Suite 7a, Saint Louis, MO 63141-8232 | 2006-10-31 |
| 1003851239 | Mercy Health Services, LLC | Pharmacy | 1400 Us Highway 61, Ste G38, Festus, MO 63028-4100 | 2006-06-19 |
| 1508857996 | Mercy Health Services, LLC | Pharmacy | 851 E 5th St, Suite #104, Washington, MO 63090-3135 | 2005-11-03 |
| Street Address |
1203 SMIZER MILL RD SUITE 101 |
| City | FENTON |
| State | MO |
| Zip Code | 63026-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730128943 | Cathy Gross | Nurse Practitioner | 1203 Smizer Mill Rd, Suite 108, Fenton, MO 63026-3483 | 2006-06-05 |
| 1609386630 | Brandy Askins | Nurse Practitioner | 1203 Smizer Mill Rd, Fenton, MO 63026-3483 | 2017-10-04 |
| 1437516952 | Jennifer Britt-ludditt | Nurse Practitioner | 1203 Smizer Mill Rd, Fenton, MO 63026-3483 | 2016-01-28 |
| 1285038042 | Debra Eggers | Nurse Practitioner | 1203 Smizer Mill Rd, Suite 105, Fenton, MO 63026-3483 | 2014-10-22 |
| 1790100089 | Jennifer Oldham | Nurse Practitioner | 1203 Smizer Mill Rd, Fenton, MO 63026-3483 | 2014-02-24 |
| 1235486952 | Amanda Nicole Breedlove | Nurse Practitioner | 1203 Smizer Mill Rd, Suite 100, Fenton, MO 63026-3483 | 2012-08-13 |
| 1568727626 | Laura Michelle Covert | Family Medicine | 1203 Smizer Mill Rd, Ste 105, Fenton, MO 63026-3483 | 2012-07-05 |
| 1598067779 | Mary M Hammel | Nurse Practitioner | 1203 Smizer Mill Rd, Suite 105, Fenton, MO 63026-3483 | 2010-11-22 |
| 1649434606 | Miriam A Rusert | Pharmacist | 1203 Smizer Mill Rd, Suite 101, Fenton, MO 63026-3483 | 2008-07-17 |
| 1487816294 | Delaine M Yowell | Family Medicine | 1203 Smizer Mill Rd, Suite 105, Fenton, MO 63026-3483 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285833806 | Vg's Pharmacy, Inc | Pharmacy | 1390 N Leroy St, Fenton, MI 48430-2762 | 2007-07-13 |
| 1205908233 | B&c Pharmacy, Inc | Pharmacy | 223 W Silver Lake Rd, Fenton, MI 48430-2605 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.