Active NPI
Sams Club Pharmacy
- Pharmacist
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP1008138
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP039365L | Other | PA | PHARMACY LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
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.
-
- Pharmacist
- Harrisburg, PA
- NPI 1568051514
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.