SAMS CLUB
NPI 1073981486
Pharmacy in Oklahoma City, OK

NPI Status: Active since September 02, 2015

Contact Information

9000 NW PASSAGE
OKLAHOMA CITY, OK
ZIP 73132
Phone: (405) 773-3616
Fax: (405) 773-3619

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  • Organization
  • Pharmacy
  • CLIA Number: 37D2126578
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 02-28-2027

About SAMS CLUB

This page provides the complete NPI Profile along with additional information for Sams Club, a provider established in Oklahoma City, Oklahoma operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1073981486 assigned on September 2015. The practitioner's primary taxonomy code is 333600000X with license number 11520 (OK). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Elizabeth Grundy Rph (Pharmacist)

NPI
1073981486
Provider Name
SAMS CLUB
Entity Type
Organization
Location Address
9000 NW PASSAGE OKLAHOMA CITY, OK 73132
Location Phone
(405) 773-3616
Location Fax
(405) 773-3619
Mailing Address
9000 NW PASSAGE OKLAHOMA CITY, OK 73132
Mailing Phone
(405) 773-3616
Mailing Fax
(405) 773-3619
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2015
Last Update Date
09-02-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
11520
License State
OK
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELIZABETH GRUNDY RPH

Authorized Official Title
PHARMACIST
Authorized Official Phone
(405) 773-3616

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2126578
Facility Type
Pharmacy
Certificate Effective Date
March 01, 2025
Certificate Expiration Date
February 28, 2027
Laboratory Director
KYLIE G. EWING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sams Club to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073981486, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 8 + 8 + 2 + 4 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1073981486.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pharmacist
9000 NW PASSAGE
OKLAHOMA CITY, OK 73132
Eyewear Supplier
9000 NW PASSAGE
OKLAHOMA CITY, OK 73132
Pharmacist
9000 NW PASSAGE
OKLAHOMA CITY, OK 73132
Pharmacist
9000 NW PASSAGE
OKLAHOMA CITY, OK 73132
Pharmacy (Community/Retail Pharmacy)
9000 NW PASSAGE
OKLAHOMA CITY, OK 73132
Hearing Instrument Specialist
9000 NW PASSAGE
OKLAHOMA CITY, OK 73132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073981486, enumerated as an "organization" on September 02, 2015.

The provider is located at 9000 NW PASSAGE OKLAHOMA CITY, OK 73132 and the phone number is (405) 773-3616.

Pharmacy with taxonomy code 333600000X.