Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sam's Prescription Shop, Inc

Organization Pharmacy · NPI 1558814939

Sam's Prescription Shop, Inc is a Pharmacy in Fayette, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 N Church St
Fayette, MO 65248-1106
Phone: (660) 248-2275
Fax: (660) 248-2858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Pharmacy Taxonomy 333600000X · Licence 004390 (MO)

Record details

NPI number1558814939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Tadrus — Officer · (660) 263-3309
Other names Sam'S Health Mart Pharmacy # 3 (Long Term Care)
NPI enumeratedAugust 2, 2016
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing addressPo Box 957, Moberly, MO 65270-0957