Sam'S Professional Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

P06975 Issued in KY

Legal business name

SAM'S PROFESSIONAL PHARMACY, INC

Practice address

2 Knox PLZ
Barbourville, KY 40906-7300

Phone

(606) 546-3317

Fax

(606) 546-3928

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Moore, PHARMD, RPH

Title

President

Phone

(606) 546-3317

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1497828578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1766",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065766",
            "telephone_number": "606-546-3317",
            "fax_number": "606-546-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KNOX PLZ",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067300",
            "telephone_number": "606-546-3317",
            "fax_number": "606-546-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S PROFESSIONAL PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-546-3317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P06975",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P06975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5400829700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rich, M.A, CCC-SLP
• Vanessa Ann Rogers, PHARM D
• Shelby Elizabeth Rudd, ATC
• RX Discount Pharmacy of Knox County Inc
• Leslie J Salley, PHARMD
• Natoria Samuels
• Jacob Reed Scalf, DPT
• Kristy Scearse, APRN
• Jenna Nicole Scharinger, APRN-CNP
• Anita J Schoolcraft, FNP-C

• Pharmacy in Barbourville, KY
• Providers in Barbourville, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.