MEDICARE: MERCY PHARMACY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2017027477	MO
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518484385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY PHARMACY SERVICES, LLC

Provider Business Mailing Address
First Line	:	14528 S OUTER 40 RD STE 100
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-5743
Country	:	US
Telephone Number	:	314-628-5627
Fax Number	:

Provider Business Practice Location Address
First Line	:	3231 S NATIONAL AVE STE 110
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-7304
Country	:	US
Telephone Number	:	417-841-0116
Fax Number	:	417-888-5609

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DOUG MALCOLM
Credential	:	PHARMD, MHA
Telephone Number	:	303-813-5532

Provider Enumeration Date	:	08/23/2017
Last Update Date	:	01/26/2026

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1104234814 — SANDHYA VETHACHALAM M.D
Practice Location Address:

3231 S NATIONAL AVE STE 100
SPRINGFIELD, MO
65807-7304

Practice Phone: 417-885-0810
Practice Fax:

1811999386 — GEOFFERY LYNN STANCZYK MD
Practice Location Address:

3231 S NATIONAL AVE , SUITE 250
SPRINGFIELD, MO
65807-7304

Practice Phone: 417-885-0828
Practice Fax: 417-886-7383

1295711620 — SILVIA HUEBNER M.D.
Practice Location Address:

3231 S NATIONAL AVE , SUITE 200
SPRINGFIELD, MO
65807-7304

Practice Phone: 417-885-0823
Practice Fax: 417-890-4178

1275502379 — LISA PHAM M.D.
Practice Location Address:

3231 S NATIONAL AVE STE 300
SPRINGFIELD, MO
65807-7304

Practice Phone: 417-888-5658
Practice Fax:

1114996907 — JAMES WARREN SILER MD
Practice Location Address:

3231 S NATIONAL AVE STE 300
SPRINGFIELD, MO
65807-7304

Practice Phone: 417-888-5658
Practice Fax:

1487617742 — MS. STEPHANIE LEA FOX PA
Practice Location Address:

3231 S NATIONAL AVE STE 300
SPRINGFIELD, MO
65807-7304

Practice Phone: 417-888-5658
Practice Fax:

Directions to “MERCY PHARMACY SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.