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SAM'S HEALTH MART PHARMACIES
NPI 1245709682
Pharmacy - Community/Retail Pharmacy in Moberly, MO

Active since November 15, 2018CLIA Certified · 3 labs
300 N. MORLEY STREET, MOBERLY, MO 65270(660) 263-0909(660) 263-2124 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2022, Nov 15, 2018 (2 updates tracked since 2018).

About Sam's Health Mart Pharmacies NPPES

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

SAM'S HEALTH MART PHARMACIES (NPI 1245709682) is a healthcare organization registered as a community/retail pharmacy in Moberly, Missouri and active in the NPI registry since November 2018. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Christian S Tadrus, Officer, as its authorized official.

NPPES Registry Identity

NPI1245709682
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAM'S PRESCRIPTION SHOP, INC.
Location Address300 N. MORLEY STREETMoberly, MO 65270
Mailing AddressPo Box 957Moberly, MO 65270-0957 · (660) 263-3309 · Fax (660) 263-3514
Phone(660) 263-0909
Fax(660) 263-2124
Organization SubpartNo
Authorized OfficialChristian S TadrusOfficer · (660) 263-3309
Enumeration DateNovember 15, 2018
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1245709682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedClinical PharmacologyTaxonomy 208U00000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X
Also ListedHearing Aid EquipmentTaxonomy 332S00000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
300 N. MORLEY STREET, Moberly, MO 65270
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Other Names 1

Doing Business AsSam's Health Mart Pharmacies

Secondary Practice Locations 2

Location 1300 N. Church StreetFayette, MO 65248 · Phone (660) 248-2275 · Fax (660) 248-2858
Location 2530 E. 24 HighwayMoberly, MO 65270 · Phone (660) 263-6710 · Fax (660) 263-2269

Other Identifiers 2

OtherMA3507Medicare Mass Immunization Billing Number
Other10735224MO · Missouri Tax Id Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 26D2027983

Sam's Health Mart Pharmacy #2 · Moberly, MO
Active · expires Aug 4, 2027
CLIA Number26D2027983
Laboratory TypePharmacy
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorChristian Tadrus
Laboratory Phone(660) 263-0909
Laboratory LocationSam's Health Mart Pharmacy #2530 E 24 Highway, Moberly, MO 65270
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2027988

Sam's Health Mart Pharmacy #3 · Fayette, MO
Active · expires Aug 4, 2027
CLIA Number26D2027988
Laboratory TypePharmacy
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorChristian Tadrus
Laboratory Phone(660) 248-2275
Laboratory LocationSam's Health Mart Pharmacy #3300 North Church Street, Fayette, MO 65248
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D1090328

Sam's Health Mart Pharmacy # 1 · Moberly, MO
Active · expires Oct 7, 2026
CLIA Number26D1090328
Laboratory TypePharmacy
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorChristian S. Tadrus
Laboratory Phone(660) 263-0909
Laboratory LocationSam's Health Mart Pharmacy # 1300 N Morley Street, Moberly, MO 65270
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam's Prescription Shop, Inc.'s NPI number?

The NPI number for Sam's Prescription Shop, Inc. is 1245709682. It was assigned to this organization in the NPPES registry on November 15, 2018. The provider is doing business as Sam's Health Mart Pharmacies.

Where is Sam's Prescription Shop, Inc. located?

Sam's Prescription Shop, Inc. is located at 300 N. Morley Street, Moberly, MO 65270. The listed phone number is (660) 263-0909.

What is Sam's Prescription Shop, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Sam's Prescription Shop, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sam's Prescription Shop, Inc. was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.