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SAMS CLUB PHARMACY
NPI 1659752145
Pharmacy - Community/Retail Pharmacy in Bullhead City, AZ

Active since June 10, 2015CLIA 03D2126731 · Waiver
600 HIGHWAY 95, BULLHEAD CITY, AZ 86429(928) 754-3950 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sams Club Pharmacy NPPES

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

SAMS CLUB PHARMACY (NPI 1659752145) is a healthcare organization registered as a community/retail pharmacy in Bullhead City, Arizona and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Richard Stanley Douglass, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1659752145
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAMS CLUB PHARMACY
Location Address600 HIGHWAY 95Bullhead City, AZ 86429-5007
Mailing Address600 Highway 95Bullhead City, AZ 86429-5007 · (928) 754-3950
Phone(928) 754-3950
Organization SubpartNo
Authorized OfficialRichard Stanley DouglassPharmacist · (928) 754-3950
Enumeration DateJune 10, 2015
✔ NPI 1659752145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AZ · S019426
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.
600 HIGHWAY 95, Bullhead City, AZ 86429
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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 03D2126731

Sam's Club Pharmacy 10-4915 · Bullhead City, AZ
Active · expires Mar 2, 2027
CLIA Number03D2126731
Laboratory TypePharmacy
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorCarol San Vicente
Laboratory Phone(928) 754-3961
Laboratory LocationSam's Club Pharmacy 10-4915600 Highway 95, Ste 200, Bullhead City, AZ 86429
CLIA data matches this NPI record on: Address
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 Sams Club Pharmacy's NPI number?

The NPI number for Sams Club Pharmacy is 1659752145. It was assigned to this organization in the NPPES registry on June 10, 2015.

Where is Sams Club Pharmacy located?

Sams Club Pharmacy is located at 600 Highway 95, Bullhead City, AZ 86429. The listed phone number is (928) 754-3950.

What is Sams Club Pharmacy's specialty?

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

Does Sams Club Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2126731) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sams Club Pharmacy was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.