SAMS WEST INC (NPI# 1295152635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295152635 |
Entity Type | Organization |
Organization Name | SAMS WEST INC |
Other Organization Name | SAM'S CLUB PHARMACY 10-6388 |
Practice Address |
1050 Ogden Ave Montgomery IL 60538-5404 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
Practice Telephone | 6304491953 |
Mailing Telephone | 4792774000 |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-11-26 |
Authorized Official Name | LAURA LEVINE (DIR. HEALTHCARE CONTRACTING) |
Authorized Official Telephone | 4792048550 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.018634 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2145248 | 01 |
Other Name | Type Code |
---|---|
Sam's Club Pharmacy 10-6388 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003367434 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 5940 Promenade Pkwy, Castle Rock, CO 80108-1904 | 2016-10-20 |
1952706228 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 603 S Placentia Ave, Fullerton, CA 92831-5112 | 2014-10-29 |
1598184699 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 3084 N Maize Rd, Wichita, KS 67205-7359 | 2014-04-16 |
1417299793 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1831 Madison Ave, Mankato, MN 56001-5449 | 2013-03-25 |
1477893949 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 2405 S Caraway Rd, Jonesboro, AR 72401-6208 | 2013-02-21 |
1871842070 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 10510 Parallel Pkwy, Kansas City, KS 66109-3643 | 2012-09-04 |
1326309550 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 8480 Andermatt Dr, Lincoln, NE 68526-9755 | 2012-06-05 |
1720349202 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1000 S Randall Rd, Elgin, IL 60123-4108 | 2012-05-31 |
1083985501 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1006 N Rohlwing Rd, Addison, IL 60101-1034 | 2012-01-13 |
1932496163 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1399 W Artesia Blvd, Gardena, CA 90248-3363 | 2011-07-08 |
Street Address |
1050 OGDEN AVE |
City | MONTGOMERY |
State | IL |
Zip Code | 60538-5404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720688856 | Donna Slas | Pharmacist | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2020-10-28 |
1740697408 | Kevin Goodwin | Optometrist | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2014-07-15 |
1275945255 | Sam's West, Inc | Technician/Technologist | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2014-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
Find all providers in zip 60538 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1447814033 | Triple T Pharmacy LLC | Pharmacy | 461 Cotton Gin Rd Ste B, Montgomery, AL 36117-3558 | 2019-04-29 |
1114486800 | Jmjp Investments LLC | Pharmacy | 89 Boulder Hill Pass, Montgomery, IL 60538-1911 | 2019-03-13 |
1750853529 | Aim 2016, Inc | Pharmacy | 7212 Halcyon Park Dr, Montgomery, AL 36117-7717 | 2018-12-18 |
1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
1124468210 | Montgomery Drug Company Inc. | Pharmacy | 1633 Perry Hill Rd, Montgomery, AL 36106-2729 | 2013-07-03 |
1508042086 | Hudson Valley Ltc Pharmacy Inc | Pharmacy | 105 Ward St Ste A, Montgomery, NY 12549-1150 | 2008-01-15 |
1851427850 | Walgreen Co | Pharmacy | 2920 Carter Hill Rd, Montgomery, AL 36106-2531 | 2007-02-26 |
1659446904 | Montgomery Drug Company Inc | Pharmacy | 37 Mitchell Dr, Montgomery, AL 36109-2923 | 2006-11-22 |
1477624070 | Vel LLC | Pharmacy | 8189 Vaughn Rd, Montgomery, AL 36116-6705 | 2006-11-13 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 60538 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.