Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Sam'S Prescription Shop, Inc.

Q: What type of organization is Sam'S Prescription Shop, Inc.?

Sam'S Prescription Shop, Inc. is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Community/Retail Pharmacy in Moberly, MO · enumerated 2018 · authorized official Christian Tadrus, Officer.

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

National Provider Identifier

1245709682

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Registry record

Entity type Organization (Type 2)

Legal business name Sam'S Prescription Shop, Inc.

Other name <Unavail>

Practice address 300 N. Morley Street, Moberly, MO, 65270

Phone (660) 263-0909

Fax (660) 263-2124

Enumeration date Nov 15, 2018

Last updated in NPPES Aug 24, 2022

Taxonomy & classification

208U00000X Clinical Pharmacology Physician Allopathic & Osteopathic Physicians Secondary

291U00000X Clinical Medical Laboratory Laboratories Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

332BN1400X Nursing Facility Supplies (DME) Suppliers Secondary

332S00000X Hearing Aid Equipment Suppliers Secondary

3336C0002X Clinic Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers Primary

3336C0004X Compounding Pharmacy Suppliers Secondary

3336L0003X Long Term Care Pharmacy Suppliers Secondary

3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Christian Tadrus

Title Officer

Phone (660) 263-3309

Other identifiers

Identifier	Type	State	Issuer
MA3507	Other	-	MEDICARE MASS IMMUNIZATION BILLING NUMBER
10735224	Other	MO	MISSOURI TAX ID NUMBER

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 Community/Retail Pharmacy (its primary provider taxonomy).

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