SAMS WEST INC (NPI# 1417299793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417299793 |
| Entity Type | Organization |
| Organization Name | SAMS WEST INC |
| Other Organization Name | SAM'S PHARMACY 10-6510 |
| Practice Address |
1831 Madison Ave Mankato MN 56001-5449 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5073874205 |
| Mailing Telephone | 4792772611 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | LAURA LEVINE (DIR H&W) |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
264106 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1417299793 | 05 | |
| PK | 2139769 | 01 |
| Other Name | Type Code |
|---|---|
| Sam's Pharmacy 10-6510 | 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 |
| 1295152635 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2014-03-24 |
| 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 |
1831 MADISON AVE |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083957054 | Sams West, Inc | Technician/Technologist | 1831 Madison Ave, Mankato, MN 56001-5449 | 2013-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386158038 | Genoa Healthcare, LLC | Pharmacy | 309 Holly Ln Ste P, Mankato, MN 56001-5422 | 2017-11-16 |
| 1770505455 | Grand St Paul Cvs LLC | Pharmacy | 1850 Adams St, Mankato, MN 56001-4864 | 2006-07-24 |
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| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
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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.