MERCY HEALTH SERVICES, LLC (NPI# 1255781241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255781241 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SERVICES, LLC |
| Practice Address |
901 Patients First Dr Suite 1400 Washington MO 63090-4700 |
| Practice Telephone | 6362667090 |
| Practice Fax Number | 6362667091 |
| Mailing Telephone | 6362667090 |
| Mailing Fax Number | 6362667091 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2017-11-10 |
| Authorized Official Name | PATRICK BERRY (EXEC DIR-RETAIL PHARMACY SVCS) |
| Authorized Official Telephone | 3146285606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | MO | 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 |
| 1063831287 | Mercy Health Services, LLC | Pharmacy | 1203 Smizer Mill Rd, Suite 101, Fenton, MO 63026-3483 | 2014-04-15 |
| 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 |
901 PATIENTS FIRST DR SUITE 1400 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963529 | William Kevin Harris | Orthopaedic Surgery | 901 Patients First Dr, Washington, MO 63090-4700 | 2005-06-23 |
| 1891336178 | Casey Lynn Buncher | Nurse Practitioner | 901 Patients First Dr, Washington, MO 63090-4700 | 2019-10-08 |
| 1124513247 | Stacy Schroeder | Nurse Practitioner | 901 Patients First Dr, Washington, MO 63090-4700 | 2018-07-01 |
| 1184122327 | Tamara Bailey | Nurse Practitioner | 901 Patients First Dr, Washington, MO 63090-4700 | 2018-01-23 |
| 1902323686 | Mercy Pharmacy Services, LLC | Pharmacy | 901 Patients First Dr, Washington, MO 63090-4700 | 2017-08-24 |
| 1427418417 | Mitchel Kohnen | Physician Assistant | 901 Patients First Dr, Washington, MO 63090-4700 | 2016-03-03 |
| 1346619095 | Jennifer Walk | Nurse Practitioner | 901 Patients First Dr, Suite 1200, Washington, MO 63090-4700 | 2015-09-23 |
| 1205241544 | Michelle Lynn Hutchings | Nurse Practitioner | 901 Patients First Dr, Washington, MO 63090-4700 | 2014-06-25 |
| 1477966398 | Jessica Buchman | Orthopaedic Surgery | 901 Patients First Dr, Washington, MO 63090-4700 | 2014-06-09 |
| 1194135632 | Mercy Clinic Nephrology LLC | Internal Medicine | 901 Patients First Dr, Washington, MO 63090-4700 | 2014-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507755 | Genoa Healthcare, LLC | Pharmacy | 2007 State St Ste 110, Washington, IN 47501-8505 | 2020-01-15 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1407353816 | Ramdass Pharmaceuticals Inc | Pharmacy | 475 Ingraham St Ne, Washington, DC 20011-2602 | 2018-04-11 |
| 1043748569 | Shree Ohm Inc | Pharmacy | 64580 Van Dyke Rd Ste D, Washington, MI 48095 | 2017-05-28 |
| 1508309253 | Joedat International Inc | Pharmacy | 1516 N Capitol St Nw, Washington, DC 20002-3344 | 2016-11-29 |
| 1588015937 | Cary Rx Incorporated | Pharmacy | 1300 7th St Nw Ste 200, Washington, DC 20001-3504 | 2016-06-28 |
| 1518384940 | Alex Pharm LLC | Pharmacy | 5185 Macarthur Blvd Nw # 107, Washington, DC 20016-3341 | 2014-03-24 |
| 1932449923 | Triple Alliance Pharmacy, Inc | Pharmacy | 1219 Brentwood Rd Ne, Washington, DC 20018 | 2013-02-27 |
| 1477899375 | Genoa Healthcare, LLC | Pharmacy | 801 Pennsylvania Ave Se Ste 120, Washington, DC 20003-2167 | 2012-12-20 |
| 1508117664 | Central Pharmacy LLC | Pharmacy | 2202 Martin Luther King Jr Avenue Se, Washington, DC 20020 | 2012-09-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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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.