NPIMap

Organization Active NPI

Innovative Pharmaceutical Services Inc.

Doing business as Sam's Prescription Shop

  • Community/Retail Pharmacy
  • Raytown, MO
National Provider Identifier
1912926981
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5070 Issued in MO
Legal business name
INNOVATIVE PHARMACEUTICAL SERVICES INC.
Doing business as
Sam's Prescription Shop
Practice address
7506 Raytown Rd
Raytown, MO 64138-0598
Phone
(816) 356-0300
Fax
(816) 356-8926
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Mr. Charles Terry Fink, RPHNPI 1760575369
Title
Pharmacist Manager
Phone
(816) 356-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5070 MO
Community/Retail Pharmacy 3336C0003X 5070 MO Primary

Addresses

Primary practice location

7506 Raytown Rd
Raytown, MO 64138-0598

Mailing address

7506 Raytown Rd
Raytown, MO 64138-0598
Phone (816) 356-0300

Other identifiers 1

IdentifierTypeStateIssuer
600586937MedicaidMO

Other names 1

  • Sam's Prescription Shop Doing business as

National Provider Directory

National Provider Directory

Locations

7506 Raytown Rd
Raytown, MO 64138
Phone (816) 356-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1912926981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 RAYTOWN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641380598",
            "telephone_number": "816-356-0300",
            "fax_number": "816-356-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 RAYTOWN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641380598",
            "telephone_number": "816-356-0300",
            "fax_number": "816-356-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHARMACEUTICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "816-356-0300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "5070",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600586937",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam's Prescription Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.