Sam's Club Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP445767 Issued in PA

Legal business name

SAM'S CLUB PHARMACY

Practice address

611 Lycoming Mall Cir
Muncy, PA 17756-1826

Phone

(570) 546-3513

Fax

(570) 546-3684

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 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

Ms. Sinead Christine Geary, PHARMD

Title

Pharmacy Manager

Phone

(570) 546-3513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1386193027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LYCOMING MALL CIR",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561826",
            "telephone_number": "570-546-3513",
            "fax_number": "570-546-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LYCOMING MALL CIR",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561826",
            "telephone_number": "570-546-3513",
            "fax_number": "570-546-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S CLUB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "GEARY",
        "authorized_official_first_name": "SINEAD",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "570-546-3513",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RP445767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Ciccarelli Roman, MD
• Jessica Rose Rutkoski, CRNP
• Nancy Louise Ryder
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• Lindsay Sauers-Plagens, PSY.D.
• Danelle Joy Saxe, PA-C
• James L. Schmitt, O.D.
• Jarod R Schreiber, RPH

• Community/Retail Pharmacy in Muncy, PA
• Providers in Muncy, 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 22, 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.