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Sam'S Prescription Shop, Inc.

Long Term Care Pharmacy in Fayette, MO · enumerated 2016 · authorized official Christian Tadrus, Officer.

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

National Provider Identifier

1558814939

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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 Church St, Fayette, MO, 65248
Phone (660) 248-2275
Fax (660) 248-2858
Enumeration date Aug 2, 2016
Last updated in NPPES Aug 24, 2022

Taxonomy & classification

333600000X Pharmacy Suppliers · License 004390 (MO) Secondary
3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name Christian Tadrus
Title Officer
Phone (660) 263-3309

Other identifiers

Identifier Type State Issuer
600061113 Medicaid MO -
2162344 Other - PK

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.

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Frequently asked questions

Who is the authorized official for Sam'S Prescription Shop, Inc.?
NPPES lists Christian Tadrus (Officer) as the authorized official for this organization.
What is the NPI number for Sam'S Prescription Shop, Inc.?
The NPI for Sam'S Prescription Shop, Inc. is 1558814939, a Type 2 (organization) record in the CMS NPPES registry.

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