Sam's Prescription Shop, Inc.
Long Term Care Pharmacy
530 East 24 Highway, Moberly
Missouri, 65270
660-263-0615 660-263-1541
Sam's Prescription Shop, Inc. is not a DME supplier for medicare equipments and products.
Sam's Prescription Shop, Inc. is a Long Term Care Pharmacy in Moberly, Missouri. It is located at 530 East 24 Highway, Moberly and it's customer support contact number is 660-263-0615. The authorized person of Sam's Prescription Shop, Inc. is Christian Tadrus who is Owner of the pharmacy and his contact number is 660-263-3309. Active license number of Sam's Prescription Shop, Inc. is 2010042682 for Long Term Care Pharmacy in Missouri.
Sam's Prescription Shop, Inc. is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Sam's Prescription Shop, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Sam's Prescription Shop, Inc. |
| Type: | Long Term Care Pharmacy |
| Location: | 530 East 24 Highway, Moberly, Missouri, 65270 |
| Phone: | 660-263-0615 |
| Fax: | 660-263-1541 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Christian Tadrus |
| Position: | Owner |
| Contact Number: | 660-263-3309 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1114470598 |
| NPI Enumeration Date: | 02 Aug, 2016 |
| NPI Last Update On: | 24 Aug, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sam's Prescription Shop, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 2010042682 | Missouri | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2162343 | Other | | Pk |
| 600202824 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 957, Moberly, Missouri |
| Zip: | 65270-0957 |
| Phone Number: | 660-263-3309 |
| Fax Number: | 660-263-3514 |
Patients can reach Sam's Prescription Shop, Inc. at
530 East 24 Highway, Moberly, Missouri or can
call on customer care at 660-263-0615.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.