SAMS EAST INC (NPI# 1720005838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720005838 |
| Entity Type | Organization |
| Organization Name | SAMS EAST INC |
| Other Organization Name | SAMS PHARMACY 10-6371 |
| Practice Address |
14050 Worth Ave Woodbridge VA 22192-4121 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7034922906 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| 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 |
0201003722 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008506752 | 05 | |
| PK | 2105053 | 01 | |
| VA | 850652 | 05 |
| Other Name | Type Code |
|---|---|
| SAMS PHARMACY 10-6371 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225575574 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 201 Golden Triangle Blvd, Keller, TX 76248-4484 | 2017-01-25 |
| 1164870366 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 11460 Royall Cotton Road, Wake Forest, NC 27587-0000 | 2016-05-27 |
| 1518321892 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4001 Sw 30th Pl, Gainesville, FL 32608-1907 | 2016-04-12 |
| 1174987861 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 5240 Frederica St, Owensboro, KY 42301-7420 | 2016-04-08 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1659749653 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 9464 Main St, Woodstock, GA 30188-3715 | 2015-09-08 |
| 1770969990 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 8952 Westgate Pkwy, Amarillo, TX 79124-1782 | 2015-08-11 |
| 1699154161 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 1500 S Orange Blossom Trl, Apopka, FL 32703 | 2015-05-29 |
| 1134514391 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2015-04-03 |
| 1316330624 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2015-03-11 |
| Street Address |
14050 WORTH AVE |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820341 | Jamil Farooq Stanekzai | Pharmacist | 14050 Worth Ave, Woodbridge, VA 22192-4121 | 2020-10-27 |
| 1558466367 | Sam's Club Optical | Technician/Technologist | 14050 Worth Ave, Woodbridge, VA 22192-4121 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1700375318 | Green Health Integrative & Wellness Pharmacy | Pharmacy | 2898 Dale Blvd Unit 105, Woodbridge, VA 22193-1118 | 2018-05-09 |
| 1629445796 | Opitiz Inc | Pharmacy | 2068 Daniel Stuart Sq, Woodbridge, VA 22191-3315 | 2015-08-25 |
| 1396904223 | Wegmans Food Markets Inc | Pharmacy | 14801 Dining Way, Woodbridge, VA 22191 | 2008-06-05 |
| 1497952238 | Harris Teeter, LLC | Pharmacy | 12745 Galveston Court, Woodbridge, VA 22192 | 2007-06-27 |
| 1255432795 | Omm Inc | Pharmacy | 14454 Jefferson Davis Hwy, Woodbridge, VA 22191-2806 | 2006-09-26 |
| 1083636765 | Virginia Cvs Pharmacy LLC | Pharmacy | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2006-07-24 |
| 1184143687 | Chlone Inc | Pharmacy | 458 Amboy Ave, Woodbridge, NJ 07095-2948 | 2017-09-15 |
| 1992182901 | Goodcare Pharmacy | Pharmacy | 14904 Jefferson Davis Hwy, Suite 101, Woodbridge, VA 22191-3908 | 2015-04-28 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.