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

NPI Status: Active since September 16, 2020

Contact Information

300 N MORLEY ST
MOBERLY, MO
ZIP 65270
Phone: (660) 263-0909
Fax: (660) 263-2124

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • Accepts Insurance

About SAM'S HEALTH MART PHARMACY # 1 (LONG TERM CARE)

This page provides the complete NPI Profile along with additional information for Sam's Health Mart Pharmacy # 1 (long Term Care), a provider established in Moberly, Missouri operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1659987584 assigned on September 2020. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Sam's Health Mart Pharmacy # 1 (long Term Care). The authorized official of this NPI record is Christian S Tadrus (Officer)

NPI
1659987584
Provider Legal Name
SAM'S PRESCRIPTION SHOP, INC.
Other Organization Name
SAM'S HEALTH MART PHARMACY # 1 (LONG TERM CARE)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 N MORLEY ST MOBERLY, MO 65270
Location Phone
(660) 263-0909
Location Fax
(660) 263-2124
Mailing Address
PO BOX 957 MOBERLY, MO 65270
Mailing Phone
(660) 263-3309
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2020
Last Update Date
08-24-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • ConnectPlus $0 Gold - PPO
  • ConnectPlus $0 Silver - PPO
  • ConnectPlus $10,600 HSA Eligible HDHP - PPO
  • ConnectPlus $1800 - PPO
  • ConnectPlus $4500 - PPO
  • ConnectPlus $6500 HSA Eligible HDHP - PPO
  • ConnectPlus $7500 HSA Eligible HDHP - PPO
  • ConnectPlus MyWeighForward $2000 - PPO
  • ConnectPlus MyWeighForward $6000 - PPO
  • ConnectPlus Standard $2000 - PPO
  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • SummaCare Bronze 10600 with 3 Free PCP Visits - HMO
  • SummaCare Bronze 10600 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Bronze 8000 - HMO
  • SummaCare Bronze 8000 with Adult Vision Exam - HMO
  • SummaCare Gold 1000 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Gold 2000 with 3 Free PCP Visits - HMO
  • SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits - HMO
  • SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTIAN S TADRUS

Authorized Official Title
OFFICER
Authorized Official Phone
(660) 263-3309

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
600061105MEDICAID (05)MO 
620061101MEDICAID (05)MO 

Reviews for SAM'S HEALTH MART PHARMACY # 1 (LONG TERM CARE)

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659987584, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 8 + 8 + 1 + 4 + 5 + 1 + 6 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1659987584.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Physical Therapist
300 N MORLEY ST
MOBERLY, MO 65270
Pharmacist
300 N MORLEY ST
MOBERLY, MO 65270
Pharmacist
300 N MORLEY ST
MOBERLY, MO 65270
Family Medicine
300 N MORLEY ST
MOBERLY, MO 65270
Nurse Practitioner (Family)
300 N MORLEY ST, STE A-C
MOBERLY, MO 65270
Clinic/Center (Rural Health)
300 N MORLEY ST, STE G/H
MOBERLY, MO 65270
Pharmacy (Community/Retail Pharmacy)
300 N MORLEY ST
MOBERLY, MO 65270
Pharmacist
300 N MORLEY ST
MOBERLY, MO 65270

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659987584, enumerated as an "organization" on September 16, 2020.

The provider is located at 300 N MORLEY ST MOBERLY, MO 65270 and the phone number is (660) 263-0909.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Avera Health Plans, HealthPartners, Moda Health. Please consult your insurance carrier or call the provider to verify.