Sam's Club

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2013026228 Issued in MO

Legal business name

SAM'S CLUB

Practice address

10735 W Florissant Ave
Saint Louis, MO 63136-2403

Phone

(314) 522-3420

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 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

Dr. Samirah Shaffiq DayNPI 1932784147

Title

Pharmacist

Phone

(314) 522-3420

Specialties & licenses 1

Addresses

Locations

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.

• Samirah Shaffiq Day

  • Pharmacist
  • Saint Louis, MO
  • NPI 1932784147
  Authorized official Same address or phone

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1497209738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 FORDER OAKS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631297103",
            "telephone_number": "314-229-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631362403",
            "telephone_number": "314-522-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "SAMIRAH",
        "authorized_official_middle_name": "SHAFFIQ",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "314-522-3420",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2013026228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Christina Salvo, PHARM.D.
• Amy L Salzer Bothmann, RN
• Heath Salzman, LPC
• Sam Hawatmeh, M D, P C
• Ashley Elizabeth Sam, DO
• Sam's Club Optical (Sam's Club Optical 30-4741)
• Sam's Club Optical (Sam's Club Optical 30-8205)
• Sam's Club Optical (Sam's Club Optical 30-8125)
• Sam's Club Optical (Sam's Club Optical 30-8182)
• Christopher Samaan, MD

• Community/Retail Pharmacy in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.