SOUTHEAST HOSPITAL NPI 1982905295

NPI Information

  • NPI: 1982905295
  • Provider Name: SOUTHEAST HOSPITAL
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MERCY PHARMACY S MOUNT AUBURN
  • CLIA Number: 26D1062900
  • Address: 817 S MOUNT AUBURN RD STE 130
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Phone: (573) 519-4550

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NPI Details

SOUTHEAST HOSPITAL is a community/retail pharmacy pharmacy in Cape Girardeau, MO. The provider is 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. SOUTHEAST HOSPITAL NPI is 1982905295. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Pharmacy S Mount Auburn.

The provider's business location address is:

817 S MOUNT AUBURN RD STE 130
CAPE GIRARDEAU, MO
ZIP 63703-392
Phone: (573) 519-4550
Fax: (573) 519-4590

The provider's authorized official is Krista Berry .
The authorized official title is Cfo and has the following contact phone number (573) 331-6028.

The CLIA number assigned to this NPI record is 26D1062900 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2010 and was last updated on 3/5/2024.

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 Pharmacy2010038132MISSOURIYes

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
12127617OTHERPK

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: 11/21/2025

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