Sams Club

Primary specialty

PharmacyTaxonomy code 333600000X

License

11520 Issued in OK

Legal business name

SAMS CLUB

Practice address

9000 NW Passage
Oklahoma City, OK 73132-3414

Phone

(405) 773-3616

Fax

(405) 773-3619

NPI assigned

Sep 2, 2015

Last updated

Sep 2, 2015By 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

Elizabeth Grundy, RPH

Title

Pharmacist

Phone

(405) 773-3616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1073981486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 NW PASSAGE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323414",
            "telephone_number": "405-773-3616",
            "fax_number": "405-773-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 NW PASSAGE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323414",
            "telephone_number": "405-773-3616",
            "fax_number": "405-773-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMS CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "GRUNDY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "405-773-3616",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "11520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lynn Sample, ARNP
• Kori Chalyn Samples, B.A.
• Timothy William Sampley
• Alisha Sampson
• Vivian Kay Sampson
• Sams East Inc (Sams Pharmacy 10-8289)
• Sams East Inc (Sams Pharmacy 10-8117)
• Sams East Inc (Sams Pharmacy 10-4731)
• Sams East Inc (Sam's Club Pharmacy 10-7189)
• Sams Optical Oklahoma City

• Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.