OrganizationActive
Southeast Hospital
NPI 1942847413 · Community/Retail Pharmacy · Jackson, MO
Southeast Hospital is a Community/Retail Pharmacy organization in Jackson, MO (NPI 1942847413).
Provider details
- NPI number
- 1942847413
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Krista Berry, Cfo(573) 331-6028
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2600 E. Main Street
Suite 113
Jackson, MO 63755
Phone: (573) 755-2315
Fax: (573) 519-4676
Street-level locationGet directions
Mailing address
2600 E. Main Street
Jackson, MO 63755
Other names (DBA / former)
- Doing business as
- Mercy Pharmacy Jackson
Registry dates
- Enumerated
- 2019-12-04
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Frequently asked questions
- What is Southeast Hospital's NPI number?
- Southeast Hospital's National Provider Identifier (NPI) is 1942847413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Hospital?
- Southeast Hospital is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southeast Hospital located?
- Southeast Hospital's practice location on file with NPPES is 2600 E. Main Street, Jackson, MO 63755.
- What is Southeast Hospital's phone number?
- The practice phone number listed in the NPPES registry for Southeast Hospital is (573) 755-2315.
- Who is the authorized official for Southeast Hospital?
- The authorized official listed on Southeast Hospital's NPPES record is Krista Berry, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Hospital's NPI active?
- Yes — Southeast Hospital's NPI (1942847413) is active in the NPPES registry as of the last update on 2024-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.