OrganizationActive
Sam'S Prescription Shop, Inc.
NPI 1245709682 · Community/Retail Pharmacy · Moberly, MO
Provider details
- NPI number
- 1245709682
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Christian Tadrus, Officer(660) 263-3309
Specialties & taxonomies
Suppliers
- Clinical Pharmacology Physician208U00000X
Allopathic & Osteopathic Physicians
- Clinical Medical Laboratory291U00000X
Laboratories
Suppliers
- Nursing Facility Supplies (DME)332BN1400X
Suppliers
- Hearing Aid Equipment332S00000X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 N. Morley Street
Moberly, MO 65270
Phone: (660) 263-0909
Fax: (660) 263-2124
Street-level locationGet directions
Mailing address
Po Box 957
Moberly, MO 65270-0957
Other names (DBA / former)
- Doing business as
- Sam'S Health Mart Pharmacies
- Doing business as
- Sam'S Health Mart Pharmacies
Additional practice locations (2)
- 300 N. Church StreetFayette, MO 65248Phone: (660) 248-2275Fax: (660) 248-2858
- 530 E. 24 HighwayMoberly, MO 65270Phone: (660) 263-6710Fax: (660) 263-2269
Registry dates
- Enumerated
- 2018-11-15
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.