1. Home
  2. Directory
  3. Iowa
  4. Clear Lake
  5. Pharmacy
  6. NPI Profile

MERCYONE CLEAR LAKE PHARMACY
NPI 1639625155
Pharmacy in Clear Lake, IA

Active since August 26, 2016
1410 6TH AVE S STE 200, CLEAR LAKE, IA 50428(641) 231-8900(641) 231-8910 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2024, Jan 13, 2017, Aug 26, 2016 (3 updates tracked since 2016).

About Mercyone Clear Lake Pharmacy NPPES

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

MERCYONE CLEAR LAKE PHARMACY (NPI 1639625155) is a healthcare organization registered as a pharmacy in Clear Lake, Iowa and active in the NPI registry since August 2016. The organization lists Mark Trammel, Assistant Treasurer, as its authorized official.

NPPES Registry Identity

NPI1639625155
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMERCY HEALTH SERVICES-IOWA CORP
Location Address1410 6TH AVE S STE 200Clear Lake, IA 50428-2606
Mailing AddressPo Box 1159Mason City, IA 50402-1159 · (641) 428-7917 · Fax (641) 428-8635
Phone(641) 231-8900
Fax(641) 231-8910
Organization SubpartNo
Authorized OfficialMark TrammelAssistant Treasurer · (641) 428-7984
Enumeration DateAugust 26, 2016
Last NPPES UpdateOctober 10, 20243 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1639625155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in IA · 1579
Definition
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1410 6TH AVE S STE 200, Clear Lake, IA 50428
Open in Google Maps ↗

Other Names 1

Other NameMercyone Clear Lake Pharmacy

Other Identifiers 2

Medicaid0409056IA
Other2163823Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercyone Clear Lake Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIowaEnrollment IDO20170605002674DME · PharmacyDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
50 services50 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
48 services48 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
22 services22 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Mercyone Clear Lake Pharmacy carries, from the Medicare DMEPOS supplier directory.

Mercyone Clear Lake Pharmacy

DMEPOS supplier · Clear Lake, IAOperated by Mercy Health Services-Iowa Corp
✔

Accepts Medicare assignment

Mercyone Clear Lake Pharmacy 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)20671487
Medicare Participant SinceFebruary 18, 1993
Supplier Location1410 6th Ave S Ste 200Clear Lake, IA 50428
Phone(641) 231-8900
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH ANGELA BENESH RPH
Pharmacist
1410 6TH AVE S STE 200
CLEAR LAKE, IA 50428
Cerro Gordo County (641) 231-8900

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 Services-Iowa Corp's NPI number?

The NPI number for Mercy Health Services-Iowa Corp is 1639625155. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is also known as Mercyone Clear Lake Pharmacy.

Where is Mercy Health Services-Iowa Corp located?

Mercy Health Services-Iowa Corp is located at 1410 6th Ave S Ste 200, Clear Lake, IA 50428. The listed phone number is (641) 231-8900.

What is Mercy Health Services-Iowa Corp's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is Mercy Health Services-Iowa Corp enrolled in Medicare?

Yes. Mercy Health Services-Iowa Corp is registered in the Medicare PECOS enrollment system.

When is Mercy Health Services-Iowa Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Iowa, Pharmacy) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Mercy Health Services-Iowa Corp accept Medicare assignment for medical equipment?

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

What insurance does Mercy Health Services-Iowa Corp accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 45 other insurers list Mercy Health Services-Iowa Corp 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 Mercy Health Services-Iowa Corp was last updated on October 10, 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.