Organization Active NPI

Sams Club Pharmacy

  • Pharmacist
  • Harrisburg, PA
National Provider Identifier
1326597816
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP1008138 Issued in PA
Legal business name
SAMS CLUB PHARMACY
Practice address
6781 Grayson Rd
Harrisburg, PA 17111-5138
Phone
(717) 561-0587
Fax
(717) 561-9942
NPI assigned
Sep 26, 2016
Last updated
Sep 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Mr. Mark Anthony Gerst, R. PH.NPI 1568051514
Title
Pharmacist
Phone
(717) 561-0587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RP1008138 PA Primary

Addresses

Primary practice location

6781 Grayson Rd
Harrisburg, PA 17111-5138

Mailing address

6781 Grayson Rd
Harrisburg, PA 17111-5138
Phone (717) 561-0587

Other identifiers 1

IdentifierTypeStateIssuer
RP039365LOtherPAPHARMACY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2,173 organizations share this tax ID, including this one

Locations

6781 Grayson Rd
Harrisburg, PA 17111
Phone (717) 558-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1326597816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 GRAYSON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171115138",
            "telephone_number": "717-561-0587",
            "fax_number": "717-561-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 GRAYSON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171115138",
            "telephone_number": "717-561-0587",
            "fax_number": "717-561-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMS CLUB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "GERST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "717-561-0587",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP1008138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "RP039365L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.