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SAMS EAST INC NPI 1134514391


NPI Information

NPI: 1134514391
Provider Name: SAMS EAST INC

Doing Business As: SAM'S PHARMACY 10-6505

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
849 STONERIDGE PKWY
JEFFERSON CITY, MO
ZIP 65109
Phone: (479) 204-8850
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SAMS EAST INC is a community/retail pharmacy pharmacy in Jefferson City, MO. The provider is 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. SAMS EAST INC NPI is 1134514391. The provider is registered as an organization entity type.
The provider Is Doing Business As Sam's Pharmacy 10-6505.

The provider's business location address is:

849 STONERIDGE PKWY
JEFFERSON CITY, MO
ZIP 65109-034
Phone: (479) 204-8850
Fax: (479) 277-4331

The provider's authorized official is Laura Levine .
The authorized official title is Director and has the following contact phone number (479) 204-8550.

The enumeration date for this NPI number is 4/3/2015 and was last updated on 11/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy2015021516MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11134514391MEDICAIDMISSOURI
22151852OTHERPK
31248940472MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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