Sams Club

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP448459 Issued in PA

Legal business name

SAMS CLUB

Practice address

6520 Carlisle Pike Ste 250
Mechanicsburg, PA 17050-5251

Phone

(717) 516-3772

Fax

(717) 516-3184

NPI assigned

Sep 23, 2016

Last updated

Sep 23, 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

Bridget Rose Crouse, PHARMD

Title

Pharmacy Manager

Phone

(717) 516-3772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1386193902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 CARLISLE PIKE STE 250",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170505251",
            "telephone_number": "717-516-3772",
            "fax_number": "717-516-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 CARLISLE PIKE STE 250",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170505251",
            "telephone_number": "717-516-3772",
            "fax_number": "717-516-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMS CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "717-516-3772",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RP448459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed A Salem
• Sasan Salimian, M.D.
• David J Salinger, MD
• Sam's Club Hearing Aid Center
• Sam's East, Inc. (Sam's Vision Center 30-4994)
• Sams East Inc (Sam's Pharmacy 10-4994)
• Ellen San
• Amanpreet S. Sandhu, MD
• Mario M Sangillo, MD
• Saverio Santell

• Community/Retail Pharmacy in Mechanicsburg, PA
• Providers in Mechanicsburg, 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 23, 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.