Sam's Club Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP446698 Issued in PA

Legal business name

SAM'S CLUB PHARMACY

Practice address

3621 William Penn Hwy
Monroeville, PA 15146-2123

Phone

(412) 372-4097

Fax

(412) 372-4197

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natalie Joy Skiba, PHARMD

Title

Pharmacy Manager

Phone

(412) 372-4097

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1063961803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 WILLIAM PENN HWY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462123",
            "telephone_number": "412-372-4097",
            "fax_number": "412-372-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 WILLIAM PENN HWY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462123",
            "telephone_number": "412-372-4097",
            "fax_number": "412-372-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S CLUB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "SKIBA",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "412-372-4097",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RP446698",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RPI006932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra G Rygg, MD
• James L Sadler Jr., MD
• Amit Saha, MD
• Holly Ann Salley, CRNA
• Sam's Club Optical (Sam's Club Optical 30-6677)
• Jace J Samosky, CRNA
• Sams East Inc (Sams Pharmacy 10-6677)
• Catherine A Samsa, OTR/L
• Matthew Sanchez
• Imran K Sandhu, M.D.

• Community/Retail Pharmacy in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.