SAM'S CLUB PHARMACY
NPI 1487744678
Pharmacist in Bloomington, IN
About Sam's Club Pharmacy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM'S CLUB PHARMACY (NPI 1487744678) is a healthcare organization registered as a pharmacist in Bloomington, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Steven Michael Ridge, Phamacy Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Group Practice 1
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 15D2136086
Sam's Club Pharmacy 10-6437 · Bloomington, INMedical Equipment Supplier Medicare DMEPOS 12
Medicare supplier enrollment and the product categories Sam's Club Pharmacy #10-6437 carries, from the Medicare DMEPOS supplier directory.
Sam's Club Pharmacy #10-6437
DMEPOS supplier · Bloomington, INOperated by Sam's East, Inc.Does not accept Medicare assignment
Sam's Club Pharmacy #10-6437 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.
Medicare Product Categories
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487744678, enumerated as an "organization" on October 16, 2006.
The provider is located at 3205 W STATE ROAD 45 BLOOMINGTON, IN 47403 and the phone number is (812) 333-8903.
Pharmacist with taxonomy code 183500000X.
