Mercy Health System Corporation
NPI 1366536773ActiveOrganization· Pharmacy· Woodstock, IL
Pharmacy in Woodstock, Illinois, registered in NPPES in October 2006, part of Mercy Health Corporation. The authorized official on file is Jospeh D. Malas, Cfo. Medicare paid $14,210 for services to 71 patients in 2024.
Overview
| NPI | 1366536773 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mercy Health Corporation |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Jun 17, 2025 |
| Certified by provider | Jun 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 54014068 | IL |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IL); Part B Supplier - Mass Immunization (Roster Biller Only) (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 202 across 7 procedure codes |
| Paid by Medicare | $14,210 |
Other pharmacies in Woodstock
- 1376558676