SAMS CLUB
NPI 1073981486
Pharmacy in Oklahoma City, OK

Q: What is Sams Club's NPI number?

The NPI number for Sams Club is 1073981486. It was assigned to this organization in the NPPES registry on September 2, 2015.

Q: What is Sams Club's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Sams Club was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2015CLIA 37D2126578 · Waiver

9000 NW PASSAGE, OKLAHOMA CITY, OK 73132(405) 773-3616(405) 773-3619 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sams Club NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMS CLUB (NPI 1073981486) is a healthcare organization registered as a pharmacy in Oklahoma City, Oklahoma and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Elizabeth Grundy, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1073981486

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameSAMS CLUB

Location Address9000 NW PASSAGEOklahoma City, OK 73132-3414

Mailing Address9000 Nw PassageOklahoma City, OK 73132-3414 · (405) 773-3616 · Fax (405) 773-3619

Phone(405) 773-3616

Fax(405) 773-3619

Organization SubpartNo

Authorized OfficialElizabeth GrundyPharmacist · (405) 773-3616

Enumeration DateSeptember 2, 2015

✔ NPI 1073981486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in OK · 11520

Definition

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.

9000 NW PASSAGE, Oklahoma City, OK 73132

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2126578

Sam's Club Pharmacy 10-4731 · Oklahoma City, OK

Active · expires Feb 28, 2027

CLIA Number37D2126578

Laboratory TypePharmacy

Certificate Effective DateMarch 1, 2025

Certificate Expiration DateFebruary 28, 2027

Laboratory DirectorKylie G. Ewing

Laboratory Phone(405) 773-3616

Laboratory LocationSam's Club Pharmacy 10-47319000 NW Passage, Oklahoma City, OK 73132

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAM'S EAST, INC.

Eyewear Supplier