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Sam'S Prescription Shop, Inc.

Long Term Care Pharmacy in Moberly, MO · enumerated 2016 · authorized official Christian Tadrus, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114470598

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Sam'S Prescription Shop, Inc.
Other name <Unavail>
Practice address 530 East 24 Highway, Moberly, MO, 65270
Fax (660) 263-1541
Enumeration date Aug 2, 2016
Last updated in NPPES Aug 24, 2022

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License 2010042682 (MO) Primary

Authorized official

Name Christian Tadrus
Title Owner

Other identifiers

Identifier Type State Issuer
2162343 Other - PK
600202824 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Sam'S Prescription Shop, Inc.?
Sam'S Prescription Shop, Inc. is registered in NPPES as a Long Term Care Pharmacy (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-24.