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SAM'S HEALTH MART PHARMACY # 3 (LONG TERM CARE)
NPI 1558814939
Pharmacy - Long Term Care Pharmacy in Fayette, MO

Active since August 02, 2016
300 N CHURCH ST, FAYETTE, MO 65248(660) 248-2275(660) 248-2858 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2022, Sep 14, 2020, Jul 27, 2018 and 1 more (4 updates tracked since 2018).

About Sam's Health Mart Pharmacy # 3 (long Term Care) NPPES

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

SAM'S HEALTH MART PHARMACY # 3 (LONG TERM CARE) (NPI 1558814939) is a healthcare organization registered as a long term care pharmacy in Fayette, Missouri and active in the NPI registry since August 2016. The organization lists Christian Tadrus, Officer, as its authorized official.

NPPES Registry Identity

NPI1558814939
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSAM'S PRESCRIPTION SHOP, INC.
Location Address300 N CHURCH STFayette, MO 65248-1106
Mailing AddressPo Box 957Moberly, MO 65270-0957 · (660) 263-3309 · Fax (660) 263-3514
Phone(660) 248-2275
Fax(660) 248-2858
Organization SubpartNo
Authorized OfficialChristian TadrusOfficer · (660) 263-3309
Enumeration DateAugust 2, 2016
Last NPPES UpdateAugust 24, 20224 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1558814939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X · License 004390 (MO)
300 N CHURCH ST, Fayette, MO 65248
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Other Names 1

Doing Business AsSam's Health Mart Pharmacy # 3 (long Term Care)

Other Identifiers 2

Medicaid600061113MO
Other2162344Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Avera Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

SAMS PRESCRIPTION SHOP INC
Pharmacy (Community/Retail Pharmacy)
300 N CHURCH ST
FAYETTE, MO 65248
Howard County (660) 248-2275
DR. CORTNEY RAE STRODTMAN-PETTIT PHARMD
Pharmacist
300 N CHURCH ST
FAYETTE, MO 65248
Howard County (660) 248-2275

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 1558814939. It was assigned to this organization in the NPPES registry on August 2, 2016. The provider is doing business as Sam's Health Mart Pharmacy # 3 (long Term Care).

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

Sam's Prescription Shop, Inc. is located at 300 N Church St, Fayette, MO 65248. The listed phone number is (660) 248-2275.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Sam's Prescription Shop, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Avera Health Plans, BlueCross BlueShield of Tennessee and Health Advantage and 11 other insurers list Sam's Prescription Shop, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.