MERCY FAMILY PHARMACY (NPI# 1639212806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639212806 |
| Entity Type | Organization |
| Organization Name | MERCY FAMILY PHARMACY |
| Other Organization Name | MERCY MEDICAL CENTER OUTPATIENT PHARMACY |
| Practice Address |
1410 N 4th Street Mercy Medical Center Clinton Clinton IA 52732 |
| Mailing Address |
250 Mercy Drive Dubuque IA 52001 |
| Practice Telephone | 5632445555 |
| Practice Fax Number | 5632445568 |
| Mailing Telephone | 5635899808 |
| Mailing Fax Number | 5632445568 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | KAY TAKES (PRESIDENT/CEO) |
| Authorized Official Telephone | 5635898061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 964 | IA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
964 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1610939 | 01 | |
| IA | 007757750 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Medical Center Outpatient Pharmacy | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619064805 | Mercy Family Pharmacy | Pharmacy | 1920 Elm St, Dubuque, IA 52001-3641 | 2006-10-07 |
| 1962573774 | Mercy Family Pharmacy | Pharmacy | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2006-11-13 |
| 1669569521 | Mercy Family Pharmacy | Pharmacy | 535 Hill St, Ste B, Dubuque, IA 52001-6678 | 2006-10-10 |
| 1578650438 | Mercy Family Pharmacy | Pharmacy | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2006-10-10 |
| 1528155710 | Mercy Family Pharmacy | Pharmacy | 805 Johnson St Sw, Cascade, IA 52033-8636 | 2006-10-07 |
| 1003903212 | Mercy Family Pharmacy | Pharmacist | 805 Johnson St Sw, Cascade, IA 52033-8636 | 2006-10-07 |
| 1154421469 | Mercy Family Pharmacy | Pharmacy | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2006-09-25 |
| 1922034131 | Mercy Family Pharmacy | Pharmacy | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-06-23 |
| Street Address |
1410 N 4TH STREET MERCY MEDICAL CENTER CLINTON |
| City | CLINTON |
| State | IA |
| Zip Code | 52732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457407124 | Gateway Pathology Assoc | Pathology | 1410 N 4th Street, Clinton, IA 52732 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| 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 |
|---|---|---|---|---|
| 1700342896 | Mendel Pharmacy Inc | Pharmacy | 9131 Piscataway Rd Ste 200, Clinton, MD 20735-2578 | 2019-02-14 |
| 1568902427 | Clinton Pharmacy LLC | Pharmacy | 119 E Clay St, Clinton, KY 42031-1222 | 2017-02-26 |
| 1063965101 | Jcm Enterprises Inc | Pharmacy | 910 N Charles G Seivers Blvd, Clinton, TN 37716-3816 | 2016-07-25 |
| 1154702900 | Hunts Mill Pharmacy Inc | Pharmacy | 14 Main St Fl 1, Clinton, NJ 08809 | 2015-06-17 |
| 1053702860 | Wal-mart Stores East Lp | Pharmacy | 9181 Highway 67, Clinton, LA 70722-4919 | 2015-02-16 |
| 1134543440 | Physicans Rx Pharmacy of Clinton Inc | Pharmacy | 9131 Piscataway Rd Ste 670, Clinton, MD 20735-2579 | 2014-02-06 |
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1184883019 | Walgreen Co | Pharmacy | 9001 Woody Ter Ste B, Clinton, MD 20735-4256 | 2008-06-05 |
| 1437362209 | Clinton Drugstore | Pharmacy | 1027 St Helena, Clinton, LA 70722-1027 | 2007-05-08 |
| Find all providers in CLINTON | ||||
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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.