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MERCY PHARMACY BROADWAY
NPI 1336150846
Pharmacy - Community/Retail Pharmacy in Cape Girardeau, MO

Active since August 10, 2006
1723 BROADWAY STE 110, CAPE GIRARDEAU, MO 63701(573) 331-7900(573) 331-7909 Get Directions Write a Review

NPPES record last updated: January 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2017, Dec 30, 2016 (2 updates tracked since 2016).

About Mercy Pharmacy Broadway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY PHARMACY BROADWAY (NPI 1336150846) is a healthcare organization registered as a community/retail pharmacy in Cape Girardeau, Missouri and active in the NPI registry since August 2006. The organization lists Krista Berry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336150846
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTHEAST HOSPITAL
Location Address1723 BROADWAY STE 110Cape Girardeau, MO 63701
Mailing Address1723 Broadway Ste 110Cape Girardeau, MO 63701 · (573) 331-7900 · Fax (573) 331-7909
Phone(573) 331-7900
Fax(573) 331-7909
Organization SubpartNo
Authorized OfficialKrista BerryCfo · (573) 331-6028
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 13, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2024
✔ NPI 1336150846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 006426
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1723 BROADWAY STE 110, Cape Girardeau, MO 63701
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Other Names 1

Doing Business AsMercy Pharmacy Broadway

Other Identifiers 2

Other2631996Ncpdp Provider Identification Number
Medicaid603829300MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Mercy Pharmacy Broadway carries, from the Medicare DMEPOS supplier directory.

Mercy Pharmacy Broadway

DMEPOS supplier · Cape Girardeau, MOOperated by Southeast Hospital
✔

Accepts Medicare assignment

Mercy Pharmacy Broadway agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20647337
Medicare Participant SinceJanuary 1, 1998
Supplier Location1723 Broadway St Ste 110Cape Girardeau, MO 63701
Phone(573) 331-7900
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Hospital's NPI number?

The NPI number for Southeast Hospital is 1336150846. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Mercy Pharmacy Broadway.

Where is Southeast Hospital located?

Southeast Hospital is located at 1723 Broadway Ste 110, Cape Girardeau, MO 63701. The listed phone number is (573) 331-7900.

What is Southeast Hospital's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Southeast Hospital accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mercy Pharmacy Broadway accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Southeast Hospital accept?

Health plans from Medica and Moda Health Plan, Inc. list Southeast Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Hospital was last updated on January 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.