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MERCY HEALTH SYSTEM CORPORATION NPI 1366536773


NPI Information

NPI: 1366536773
Provider Name: MERCY HEALTH SYSTEM CORPORATION

Doing Business As: MERCY WOODSTOCK PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 14D0962058

Address:
2000 LAKE AVE
WOODSTOCK, IL
ZIP 60098
Phone: (815) 337-4116
Get Directions

MERCY HEALTH SYSTEM CORPORATION is a pharmacy in Woodstock, IL. 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 HEALTH SYSTEM CORPORATION NPI is 1366536773. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Woodstock Pharmacy.

The provider's business location address is:

2000 LAKE AVE
WOODSTOCK, IL
ZIP 60098-401
Phone: (815) 337-4116
Fax: (815) 337-4795

The provider's authorized official is Don Janczak .
The authorized official title is Director Retail Services and has the following contact phone number (608) 756-6664.

The CLIA number assigned to this NPI record is 14D0962058 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 9/27/2023.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
3333600000XPharmacy54014068ILLINOISYes

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
11470361OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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.