Organization
SAMS PRESCRIPTION SHOP INC
Active
Other names
Sam's Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN TADRUS (OWNER)
(660) 263-3309
Entity
Organization
Contact information
Practice address
300 N MORLEY ST, MOBERLY, MO 65270-2334
(660) 263-0909
(660) 263-2124
Mailing address
PO BOX 957, (26-08872), MOBERLY, MO 65270-0957
(660) 263-3309
(660) 263-3514
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
003205
MO
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049295
PK
—
05
—
600061105
—
MO
Enumeration date
11/01/2005
Last updated
08/24/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up