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MERCY HOSPITAL SPRINGFIELD NPI 1235186842


NPI Information

NPI: 1235186842
Provider Name: MERCY HOSPITAL SPRINGFIELD

Doing Business As: MERCY PHARMACY-LICKING

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
101 N MAIN ST
LICKING, MO
ZIP 65542
Phone: (573) 674-2922
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MERCY HOSPITAL SPRINGFIELD is a pharmacy in Licking, MO. The provider is 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. MERCY HOSPITAL SPRINGFIELD NPI is 1235186842. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Pharmacy-licking.

The provider's business location address is:

101 N MAIN ST
LICKING, MO
ZIP 65542-026
Phone: (573) 674-2922
Fax: (573) 674-4334

The provider's authorized official is Patrick Berry .
The authorized official title is Exec Dir-retail Pharmacy Svcs and has the following contact phone number (314) 628-5606.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 11/3/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist2011020758MISSOURINo
2333600000XPharmacy2011020758MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10326010020MEDICARE NSCMISSOURI
2600054100MEDICAIDMISSOURI
32608466OTHERMISSOURINCPDP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.