SAMS WEST INC


Address: 1050 Ogden Ave, Montgomery, IL 60538-5404
Phone: 6304491953

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PK 2145248 01

Other Provider/Organization Names

Other Name Type Code
Sam's Club Pharmacy 10-6388 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1050 OGDEN AVE
City MONTGOMERY
State IL
Zip Code 60538-5404

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Competitor

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City MONTGOMERY
Zip Code 60538

Improve Information

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Dataset Information

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.

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