SAMS PRESCRIPTION SHOP INC (NPI# 1568453397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568453397 |
| Entity Type | Organization |
| Organization Name | SAMS PRESCRIPTION SHOP INC |
| Other Organization Name | SAM'S HEALTH MART PHARMACY |
| Practice Address |
300 N Morley St Moberly MO 65270-2334 |
| Mailing Address |
Po Box 957 (26-08872) Moberly MO 65270-0957 |
| Practice Telephone | 6602630909 |
| Practice Fax Number | 6602632124 |
| Mailing Telephone | 6602633309 |
| Mailing Fax Number | 6602633514 |
| Enumeration Date | 2005-11-01 |
| 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 | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
003205 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600061105 | 05 | |
| PK | 2049295 | 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 |
| 1336251339 | Sams Prescription Shop Inc | Durable Medical Equipment & Medical Supplies | 300 N Church St, Fayette, MO 65248-1106 | 2006-08-31 |
| 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 |
| Street Address |
300 N MORLEY ST |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401430 | Randy A Foster | Family Medicine | 300 N Morley St, Suite G, Moberly, MO 65270-2334 | 2005-07-18 |
| 1659987584 | Sams Prescription Shop Inc | Pharmacy | 300 N Morley St, Moberly, MO 65270-2334 | 2020-09-16 |
| 1558970475 | Brandie Lynn Wilkerson | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2020-07-27 |
| 1609233956 | Rhonda Cachero | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2016-01-18 |
| 1295092419 | Moberly Hospital Company LLC | Clinic/Center | 300 N Morley St, Ste G/h, Moberly, MO 65270-2334 | 2012-04-12 |
| 1336464361 | Jill R Darwent | Pharmacist | 300 N Morley St, Moberly, MO 65270-0957 | 2010-04-01 |
| 1972828242 | Salim S Tadrus | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2010-03-30 |
| 1578896049 | Frederic Lee Gottman | Physical Therapist | 300 N Morley St, Moberly, MO 65270-2334 | 2009-09-15 |
| 1336390822 | Kathleen A Kinnaman | Nurse Practitioner | 300 N Morley St, Ste A-c, Moberly, MO 65270-2334 | 2008-10-02 |
| 1134137391 | Foster Family Medicine & Associates LLC | Family Medicine | 300 N Morley St, Moberly, MO 65270-2334 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538253224 | Mckenzie Prescription Center Inc | Pharmacy | 643 N Morley St, Suite A, Moberly, MO 65270-2500 | 2006-10-03 |
| 1669513594 | Moberly Professional Arts Pharmacy Inc. | Pharmacy | 1513 Union Ave, Moberly, MO 65270-9407 | 2007-02-12 |
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|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
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| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 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.