MERCY PHARMACY SERVICES, LLC (NPI# 1568753150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568753150 |
Entity Type | Organization |
Organization Name | MERCY PHARMACY SERVICES, LLC |
Other Organization Name | MERCY PHARMACY SOUTHFORK |
Practice Address |
12700 Southfork Rd Ste 110 Saint Louis MO 63128-3201 |
Mailing Address |
12700 Southfork Rd Suite 110 Saint Louis MO 63128-3201 |
Practice Telephone | 3145254488 |
Practice Fax Number | 3145254810 |
Mailing Telephone | 3145254488 |
Mailing Fax Number | 3145254810 |
Enumeration Date | 2011-04-29 |
Last Update Date | 2018-10-03 |
Authorized Official Name | MR. JONATHAN LAKAMP (VICE PRESIDENT-PHARMACY) |
Authorized Official Telephone | 3146283406 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2012021200 | MO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2134979 | 01 |
Other Name | Type Code |
---|---|
Mercy Pharmacy Southfork | Doing Business As Name - Organization |
St. Anthony's Plaza Retail Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649799560 | Mercy Pharmacy Services, LLC | Home Infusion | 2115 S Fremont Ave Ste 5200, Springfield, MO 65804-2239 | 2017-09-12 |
1326566464 | Mercy Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 3183 Riverport Tech Center Dr, Maryland Heights, MO 63043-4825 | 2017-09-08 |
1366969040 | Mercy Pharmacy Services, LLC | Pharmacy | 851 E 5th St Ste 104, Washington, MO 63090-3128 | 2017-08-24 |
1730606401 | Mercy Pharmacy Services, LLC | Pharmacy | 12680 Olive Blvd Ste 150, Saint Louis, MO 63141-6364 | 2017-08-24 |
1457878126 | Mercy Pharmacy Services, LLC | Pharmacy | 15945 Clayton Rd Ste 140, Ballwin, MO 63011-2490 | 2017-08-24 |
1487171153 | Mercy Pharmacy Services, LLC | Pharmacy | 12348 Old Tesson Rd Ste 100, Saint Louis, MO 63128-2251 | 2017-08-24 |
1902323678 | Mercy Pharmacy Services, LLC | Pharmacy | 621 S New Ballas Rd Ste 20a, Saint Louis, MO 63141-8251 | 2017-08-24 |
1184141863 | Mercy Pharmacy Services, LLC | Pharmacy | 1400 Us Highway 61 Ste S1100, Festus, MO 63028-4100 | 2017-08-24 |
1497272165 | Mercy Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 607 S New Ballas Rd Ste 1415, Saint Louis, MO 63141-8231 | 2017-08-24 |
1740707504 | Mercy Pharmacy Services, LLC | Pharmacist | 1965 S Fremont Ave Ste 140, Springfield, MO 65804-2216 | 2017-08-23 |
Street Address |
12700 SOUTHFORK RD STE 110 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-3201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
Find all providers in zip 63128 |
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 |
---|---|---|---|---|
1154893071 | Key Healthmeds LLC | Pharmacy | 522 N New Ballas Rd Ste 206, Saint Louis, MO 63141-6819 | 2018-12-18 |
1366926552 | Amc Pharmacy | Pharmacy | 2653 Locust St, Saint Louis, MO 63103-1411 | 2018-09-24 |
1730606401 | Mercy Pharmacy Services, LLC | Pharmacy | 12680 Olive Blvd Ste 150, Saint Louis, MO 63141-6364 | 2017-08-24 |
1487171153 | Mercy Pharmacy Services, LLC | Pharmacy | 12348 Old Tesson Rd Ste 100, Saint Louis, MO 63128-2251 | 2017-08-24 |
1902323678 | Mercy Pharmacy Services, LLC | Pharmacy | 621 S New Ballas Rd Ste 20a, Saint Louis, MO 63141-8251 | 2017-08-24 |
1154722841 | Missouri Baptist Medical Center | Pharmacy | 3844 S Lindbergh Blvd Ste 150, Saint Louis, MO 63127-1368 | 2014-09-12 |
1720332752 | Readymed Pharmacy Inc. | Pharmacy | 13218 Tesson Ferry Rd, Saint Louis, MO 63128-3840 | 2012-10-29 |
1336498484 | Sai Health Pharmacy LLC | Pharmacy | 135 W Washington St, Saint Louis, MI 48880-1534 | 2012-09-05 |
1700929866 | Rehoboth Pharmacy LLC | Pharmacy | 9944 W Florissant Ave, Saint Louis, MO 63136-1432 | 2007-02-15 |
1023173986 | Long Term Care Rx, Inc. | Pharmacy | 1a Document Dr, Saint Louis, MO 63114 | 2006-12-22 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63128 |
Please comment or provide details below to improve the information on MERCY PHARMACY SERVICES, LLC.
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.