SAM'S HEALTH MART PHARMACY – NPI #1568453397
Pharmacy

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.

SAM'S HEALTH MART PHARMACY is a pharmacy located in MOBERLY, MO. NPPES has assigned the NPI number 1568453397 to SAM'S HEALTH MART PHARMACY on November 01, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAM'S HEALTH MART PHARMACY” is a dba name, the actual legal business name for this organization is SAMS PRESCRIPTION SHOP INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Aug 24, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAM'S HEALTH MART PHARMACY below.

NPI Profile for
SAMS PRESCRIPTION SHOP INC

NPI Number
1568453397
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAMS PRESCRIPTION SHOP INC
Doing Business As (dba): SAM'S HEALTH MART PHARMACY
Primary location
300 N MORLEY ST
MOBERLY, MO 65270-2334
Phone: (660) 263-0909 Fax: (660) 263-2124
Mailing address
PO BOX 957
(26-08872)
MOBERLY, MO 65270-0957
Phone: (660) 263-3309 Fax: (660) 263-3514
Organization Subpart
No
Authorized Official
CHRISTIAN TADRUS
OWNER
Phone: (660) 263-3309
Updated
Certification Date
Aug 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SAM'S HEALTH MART PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2049295
MEDICAIDMO600061105
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.