SAM'S HEALTH MART PHARMACY # 1 (LONG TERM CARE)
NPI 1659987584
Pharmacy - Long Term Care Pharmacy in Moberly, MO

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

The NPI number for Sam's Prescription Shop, Inc. is 1659987584. It was assigned to this organization in the NPPES registry on September 16, 2020. The provider is doing business as Sam's Health Mart Pharmacy # 1 (long Term Care).

Q: 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.

Active since September 16, 2020

300 N MORLEY ST, 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: August 09, 2026.

Record update history: Aug 24, 2022, Apr 29, 2021, Sep 18, 2020 (3 updates tracked since 2020).

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About Sam's Health Mart Pharmacy # 1 (long Term Care) NPPES

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

SAM'S HEALTH MART PHARMACY # 1 (LONG TERM CARE) (NPI 1659987584) is a healthcare organization registered as a long term care pharmacy in Moberly, Missouri and active in the NPI registry since September 2020. The organization lists Christian S Tadrus, Officer, as its authorized official.

NPPES Registry Identity

NPI1659987584

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameSAM'S PRESCRIPTION SHOP, INC.

Location Address300 N MORLEY STMoberly, MO 65270-2334

Mailing AddressPo Box 957Moberly, MO 65270-0957 · (660) 263-3309

Phone(660) 263-0909

Fax(660) 263-2124

Organization SubpartNo

Authorized OfficialChristian S TadrusOfficer · (660) 263-3309

Enumeration DateSeptember 16, 2020

Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration

NPPES CertifiedAugust 24, 2022

✔ NPI 1659987584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

300 N MORLEY ST, Moberly, MO 65270

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Other Names 1

Doing Business AsSam's Health Mart Pharmacy # 1 (long Term Care)

Other Identifiers 2

Medicaid600061105MO

Medicaid620061101MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, HealthPartners, Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

FOSTER FAMILY MEDICINE & ASSOCIATES LLC

Family Medicine

300 N MORLEY ST
MOBERLY, MO 65270

Randolph County (660) 263-1513

MOBERLY HOSPITAL COMPANY LLC

Clinic/Center (Rural Health)

300 N MORLEY ST, STE G/H
MOBERLY, MO 65270

Randolph County (660) 263-8400

KATHLEEN A KINNAMAN MSN-FNP

Nurse Practitioner (Family)

300 N MORLEY ST, STE A-C
MOBERLY, MO 65270

Randolph County (660) 263-1225

JILL R DARWENT RPH

Pharmacist

300 N MORLEY ST
MOBERLY, MO 65270

Randolph County (660) 263-0909

STEPHANIE MARIE RICHARDS PA

Physician Assistant (Medical)

300 N MORLEY ST
MOBERLY, MO 65270

Randolph County (660) 263-1225

DR. BRANDIE LYNN WILKERSON PHARM. D.

Pharmacist

300 N MORLEY ST
MOBERLY, MO 65270

Randolph County (660) 263-0909

SAMS PRESCRIPTION SHOP INC

Pharmacy (Community/Retail Pharmacy)

300 N MORLEY ST
MOBERLY, MO 65270

Randolph County (660) 263-0909

FREDERIC LEE GOTTMAN DPT

Physical Therapist

300 N MORLEY ST
MOBERLY, MO 65270

Randolph County (660) 263-6223

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 1659987584. It was assigned to this organization in the NPPES registry on September 16, 2020. The provider is doing business as Sam's Health Mart Pharmacy # 1 (long Term Care).

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

Sam's Prescription Shop, Inc. is located at 300 N Morley St, 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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

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

Health plans from Avera Health Plans, HealthPartners, Moda Health Plan, Inc. and SummaCare 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.