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MERCY MALL LTC PHARMACY
NPI 1639460736
Pharmacy - Long Term Care Pharmacy in Janesville, WI

Active since April 22, 2011
1010 N WASHINGTON ST STE 107, JANESVILLE, WI 53548(608) 755-4196(608) 755-8710 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mercy Mall Ltc Pharmacy NPPES

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

MERCY MALL LTC PHARMACY (NPI 1639460736) is a healthcare organization registered as a long term care pharmacy in Janesville, Wisconsin and active in the NPI registry since April 2011. The organization lists Joan Shadel, Director Of Retail Services, as its authorized official.

NPPES Registry Identity

NPI1639460736
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMERCY HEALTH SYSTEM CORPORATION
Location Address1010 N WASHINGTON ST STE 107Janesville, WI 53548-1500
Mailing Address1010 N Washington St, Suite 107Janesville, WI 53548-1500 · (608) 755-4196 · Fax (608) 755-8710
Phone(608) 755-4196
Fax(608) 755-8710
Organization SubpartNo
Authorized OfficialJoan ShadelDirector Of Retail Services · (608) 755-8787
Enumeration DateApril 22, 2011
Last NPPES UpdateOctober 12, 2011
✔ NPI 1639460736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in WI · 9068
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
1010 N WASHINGTON ST STE 107, Janesville, WI 53548
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Other Names 1

Doing Business AsMercy Mall Ltc Pharmacy

Other Identifiers 3

Medicaid1639460736WI
Medicare NSC0903300042WI
Other5132597Ncpdp Provider Identification Number

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 Mercy Health System Corporation's NPI number?

The NPI number for Mercy Health System Corporation is 1639460736. It was assigned to this organization in the NPPES registry on April 22, 2011. The provider is doing business as Mercy Mall Ltc Pharmacy.

Where is Mercy Health System Corporation located?

Mercy Health System Corporation is located at 1010 N Washington St Ste 107, Janesville, WI 53548. The listed phone number is (608) 755-4196.

What is Mercy Health System Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Mercy Health System Corporation was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.