MERCY HOSPITAL SPRINGFIELD (NPI# 1982644514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982644514 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL SPRINGFIELD |
| Other Organization Name | MERCY PHARMACY-FREMONT |
| Practice Address |
1965 S Fremont Ave Suite 140 Springfield MO 65804-2201 |
| Mailing Address |
1235 E Cherokee St Springfield MO 65804-2203 |
| Practice Telephone | 4178203577 |
| Practice Fax Number | 4178203578 |
| Mailing Telephone | 4178202754 |
| Mailing Fax Number | 4178207788 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-11-03 |
| Authorized Official Name | MR. 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 | 183500000X | Pharmacist | 006618 | MO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 601847809 | 05 | |
| MO | NABP | 2620284 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Pharmacy-Fremont | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252948 | Mercy Hospital Springfield | Clinic/Center | 448 Hwy 248 Ste 130, Branson, MO 65616-3725 | 2018-10-25 |
| 1376884353 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 729 Highland Street, Aurora, MO 65605 | 2013-03-15 |
| 1760785265 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 721 E Highland Street, Aurora, MO 65605 | 2010-12-06 |
| 1114154127 | Mercy Hospital Springfield | Occupational Therapist | 670 Branson Landing Blvd, Branson, MO 65616-2074 | 2009-06-17 |
| 1477756609 | Mercy Hospital Springfield | Ambulance | 200 Sparky Street, Green Forest, AR 72638-2713 | 2007-06-06 |
| 1144430760 | Mercy Hospital Springfield | Ambulance | 59 Meadow Lark Rd., Branson West, MO 65737 | 2007-05-23 |
| 1558573386 | Mercy Hospital Springfield | Ambulance | 816 E Highway 32, Stockton, MO 65785-8351 | 2007-05-04 |
| 1477765204 | Mercy Hospital Springfield | Ambulance | 675 North Highway 5, Camdenton, MO 65020-3561 | 2007-05-04 |
| 1558573410 | Mercy Hospital Springfield | Ambulance | 1407 E Saint Louis St, Springfield, MO 65802-3125 | 2007-05-04 |
| 1538380654 | Mercy Hospital Springfield | Ambulance | 1012 N Highway 19, Winona, MO 65588 | 2007-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL SPRINGFIELD | 1235 East Cherokee, Springfield, MO 65804-2203 |
| Street Address |
1965 S FREMONT AVE SUITE 140 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834074 | Tyrun Keith Richardson | Urology | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2005-07-14 |
| 1366934069 | Kelsi Brooke Yates | Registered Nurse | 1965 S Fremont Ave, Springfield, MO 65804 | 2018-05-30 |
| 1629515440 | Ashley Jenkins | Physician Assistant | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2017-01-31 |
| 1538602719 | Brianna Sikes | Registered Nurse | 1965 S Fremont Ave, Suite 230, Springfield, MO 65804-2201 | 2016-11-21 |
| 1497105779 | Krista Norrick | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-16 |
| 1952750846 | Lori Pumphrey | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-10 |
| 1306205414 | Jason Hall | Physician Assistant | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-02-17 |
| 1811382500 | Megan A. Martin | Nurse Practitioner | 1965 S Fremont Ave, Suite 300, Springfield, MO 65804-2201 | 2015-03-31 |
| 1588055578 | Inna L. Bates | Nurse Practitioner | 1965 S Fremont Ave, Suite 350, Springfield, MO 65804-2201 | 2015-02-11 |
| 1770990228 | Karina Marie Guffey | Nurse Practitioner | 1965 S Fremont Ave, Springfield, MO 65804-2201 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946299 | Vy Dang | Pharmacist | 45 Willow St Apt 510, Springfield, MA 01103-1966 | 2020-09-15 |
| 1114539756 | Logan Meredith Haley | Pharmacist | 6039 New Chapel Rd, Springfield, TN 37172-1338 | 2020-08-17 |
| 1801413349 | Tung Tran | Pharmacist | 1028 Lincoln Ave, Springfield, PA 19064-3923 | 2020-07-01 |
| 1033739453 | John Frederick Endris | Pharmacist | 505 Colbrook Dr, Springfield, IL 62702-3384 | 2020-04-27 |
| 1770103889 | Seth Nelson | Pharmacist | 1150 N 5th St, Springfield, IL 62702-3800 | 2020-04-18 |
| 1952921074 | Edward John Oldfield | Pharmacist | 3441 Smythberry Ln Apt 7, Springfield, IL 62711-8210 | 2020-04-18 |
| 1255965240 | Matthew Sherriffs | Pharmacist | 2 Medical Center Dr Ste 204, Springfield, MA 01107-1271 | 2020-02-27 |
| 1023649134 | Kendra Yociss | Pharmacist | 201 E Madison St, Springfield, IL 62702-5131 | 2020-01-28 |
| 1861049397 | Laura A Kosiorek | Pharmacist | 242 Prentice St, Springfield, MA 01104-1525 | 2019-08-20 |
| 1144880048 | Akemi Nishida | Pharmacist | 520 Ethan Ct, Springfield, OR 97477-9407 | 2019-06-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on MERCY HOSPITAL SPRINGFIELD.
| 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.