Organization Active NPI

Sam's

  • Public Health or Welfare Agency
  • Bowling Green, KY
National Provider Identifier
1225581820
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
009538 Issued in KY
Legal business name
SAM'S
Practice address
3200 Ken Bale Blvd
Bowling Green, KY 42103-6025
Phone
(270) 781-7727
Fax
(270) 781-7826
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Ms. Cathy JonesNPI 1902359318
Title
Pharmacist
Phone
(270) 842-7710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 009538 KY Primary

Addresses

Primary practice location

3200 Ken Bale Blvd
Bowling Green, KY 42103-6025

Mailing address

3111 Smallhouse Rd
Bowling Green, KY 42104-4603
Phone (270) 781-7727

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2126788Sam's Club Pharmacy 10-48763200 Ken Bale Blvd, Bowling Green, KY 42103Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1225581820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SMALLHOUSE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044603",
            "telephone_number": "270-781-7727",
            "fax_number": "270-781-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 KEN BALE BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036025",
            "telephone_number": "270-781-7727",
            "fax_number": "270-781-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "270-842-7710",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": "009538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.