SAMS PRESCRIPTION SHOP INC (NPI# 1336251339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336251339 |
| Entity Type | Organization |
| Organization Name | SAMS PRESCRIPTION SHOP INC |
| Other Organization Name | SAM'S HEALTH MART PHARMACY |
| Practice Address |
300 N Church St Fayette MO 65248-1106 |
| Mailing Address |
Po Box 957 (26-21907) Moberly MO 65270-0957 |
| Practice Telephone | 6602482275 |
| Practice Fax Number | 6602482858 |
| Mailing Telephone | 6602633309 |
| Mailing Fax Number | 6602633514 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | CHRISTIAN TADRUS (OWNER) |
| Authorized Official Telephone | 6602633309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
004390 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600061113 | 05 | |
| PK | 2050580 | 01 |
| Other Name | Type Code |
|---|---|
| Sam's Health Mart Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528376639 | Sams Prescription Shop Inc | Durable Medical Equipment & Medical Supplies | 530 East 24 Highway, Moberly, MO 65270-2500 | 2010-09-23 |
| 1659987584 | Sams Prescription Shop Inc | Pharmacy | 300 N Morley St, Moberly, MO 65270-2334 | 2020-09-16 |
| 1558814939 | Sams Prescription Shop Inc | Pharmacy | 300 N Church St, Fayette, MO 65248-1106 | 2016-08-02 |
| 1568453397 | Sams Prescription Shop Inc | Pharmacy | 300 N Morley St, Moberly, MO 65270-2334 | 2005-11-01 |
| Street Address |
300 N CHURCH ST |
| City | FAYETTE |
| State | MO |
| Zip Code | 65248-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558814939 | Sams Prescription Shop Inc | Pharmacy | 300 N Church St, Fayette, MO 65248-1106 | 2016-08-02 |
| 1669893194 | Cortney Rae Strodtman-pettit | Pharmacist | 300 N Church St, Fayette, MO 65248-1106 | 2013-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871658799 | Health Care Consultants of Mid Missouri, Inc. | Assisted Living Facility | 420 County Road 112, Fayette, MO 65248 | 2006-12-22 |
| 1932643160 | Brandon Michael Wiler | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248 | 2016-12-07 |
| 1326075391 | Robert Neal Buffaloe | Family Medicine | 308 S Church St, Fayette, MO 65248 | 2006-06-27 |
| 1740376219 | Howard County Home Health and Hospice | Hospice Care, Community Based | 101 Furr St, Fayette, MO 65248-1069 | 2006-10-04 |
| 1861496531 | Howard County Home Health and Hospice | Home Health | 101 Furr Street, Fayette, MO 65248-1069 | 2005-06-09 |
| 1013342955 | Howard County Home Health and Hospice | In Home Supportive Care | 101 Furr St, Fayette, MO 65248-1069 | 2013-09-11 |
| 1346242484 | Howard County Commission | Public Health or Welfare | 600 W Morrison St, Ste 7, Fayette, MO 65248-1075 | 2005-06-01 |
| 1700125382 | Jessica Michelle Beasley | Counselor | 600 W Morrison St, Ste 18, Fayette, MO 65248-1075 | 2013-02-02 |
| 1376840090 | Nathan Reed Hepner | Counselor | 600 W Morrison St, Suite 18, Fayette, MO 65248-1075 | 2011-02-15 |
| 1477855336 | Solcollin Aliscia Heard | Counselor | 600 W Morrison St, Ste. 18, Fayette, MO 65248-1075 | 2010-11-29 |
| Find all providers in zip 65248 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1316087703 | Bolling Pharmacy, Inc. | Pharmacy | 101 Temple Ave S, Fayette, AL 35555-2711 | 2007-02-07 |
| 1952952871 | Scpg Alabama LLC | Pharmacy | 1128 2nd Ave Ne, Fayette, AL 35555-1739 | 2019-09-23 |
| 1114401973 | Fayette Downtown Pharmacy, Inc | Pharmacy | 101 Temple Ave S, Fayette, AL 35555-2711 | 2018-09-18 |
| 1356796197 | C & D Pharmaceuticals Fayette Inc | Pharmacy | 106 16th St Ne, Fayette, AL 35555-1340 | 2016-04-29 |
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| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.