OrganizationActive
Sam'S Prescription Shop, Inc.
NPI 1558814939 · Long Term Care Pharmacy · Fayette, MO
Sam'S Prescription Shop, Inc. is a Long Term Care Pharmacy organization in Fayette, MO (NPI 1558814939).
Provider details
- NPI number
- 1558814939
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Christian Tadrus, Officer(660) 263-3309
- License
- 004390 (MO)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 Church St
Fayette, MO 65248-1106
Phone: (660) 248-2275
Fax: (660) 248-2858
Street-level locationGet directions
Mailing address
Po Box 957
Moberly, MO 65270-0957
Other names (DBA / former)
- Doing business as
- Sam'S Health Mart Pharmacy # 3 (long Term Care)
Registry dates
- Enumerated
- 2016-08-02
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Frequently asked questions
- What is Sam'S Prescription Shop, Inc.'s NPI number?
- Sam'S Prescription Shop, Inc.'s National Provider Identifier (NPI) is 1558814939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sam'S Prescription Shop, Inc.?
- Sam'S Prescription Shop, Inc. is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Sam'S Prescription Shop, Inc. located?
- Sam'S Prescription Shop, Inc.'s practice location on file with NPPES is 300 N Church St, Fayette, MO 65248-1106.
- What is Sam'S Prescription Shop, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sam'S Prescription Shop, Inc. is (660) 248-2275.
- Who is the authorized official for Sam'S Prescription Shop, Inc.?
- The authorized official listed on Sam'S Prescription Shop, Inc.'s NPPES record is Christian Tadrus, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sam'S Prescription Shop, Inc.'s NPI active?
- Yes — Sam'S Prescription Shop, Inc.'s NPI (1558814939) is active in the NPPES registry as of the last update on 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.