NPIMap

Organization Active NPI

Sam'S Club Pharmacy

  • Community/Retail Pharmacy
  • Pittsburgh, PA
National Provider Identifier
1487105367
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP450647 Issued in PA
Legal business name
SAM'S CLUB PHARMACY
Practice address
249 Summit Park Dr
Pittsburgh, PA 15275-1221
Phone
(412) 788-6313
Fax
(412) 788-4958
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Sara Fazikas, PHARMD
Title
Pharmacy Manager
Phone
(412) 788-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP450647 PA Primary

Addresses

Primary practice location

249 Summit Park Dr
Pittsburgh, PA 15275-1221

Mailing address

249 Summit Park Dr
Pittsburgh, PA 15275-1221
Phone (412) 788-6313

National Provider Directory

National Provider Directory
Tax ID family
Sam'S Hearing Aid Center 6332819 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

249 Summit Park Dr
Pittsburgh, PA 15275
Phone (412) 494-4140

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1487105367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 SUMMIT PARK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751221",
            "telephone_number": "412-788-6313",
            "fax_number": "412-788-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 SUMMIT PARK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751221",
            "telephone_number": "412-788-6313",
            "fax_number": "412-788-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S CLUB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "FAZIKAS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "412-788-6313",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RP450647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.