SAMS EAST INC (NPI# 1780601013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780601013 |
| Entity Type | Organization |
| Organization Name | SAMS EAST INC |
| Other Organization Name | SAMS PHARMACY 10-8293 |
| Practice Address |
4100 S Bolger Rd Independence MO 64055-6772 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8163502931 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-10-26 |
| 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 |
2001007427 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2048693 | 01 | |
| MO | 605268309 | 05 |
| Other Name | Type Code |
|---|---|
| SAMS PHARMACY 10-8293 | 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 |
4100 S BOLGER RD |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-6772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306332622 | Mohmmad Khoshneviszadeh | Pharmacist | 4100 S Bolger Rd, Independence, MO 64055-6772 | 2018-07-10 |
| 1316023518 | Sam's Club Optical | Technician/Technologist | 4100 S Bolger Rd, Independence, MO 64055-6772 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| 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 |
|---|---|---|---|---|
| 1750567624 | Lowe Drug Company | Pharmacy | 19950 East 39th Street South, Suite 120, Independence, MO 64057 | 2008-01-10 |
| 1700077831 | Walgreen Co. | Pharmacy | 2005 Centennial Blvd, Independence, KY 41051-7041 | 2007-08-05 |
| 1124176888 | Cherokee Drug Shoppe | Pharmacy | 6439 Taylor Mill Rd, Independence, KY 41051-9343 | 2007-01-08 |
| 1912070525 | Nies Pharmacy Inc | Pharmacy | 11745 Madison Pike, Independence, KY 41051-8637 | 2006-11-15 |
| 1588754725 | 50-plus Pharmacy Inc. | Pharmacy | 211 W Lexington Ave, Independence, MO 64050-3709 | 2006-10-16 |
| 1114027554 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1545 E 23rd St S, Independence, MO 64055-1670 | 2006-09-25 |
| 1942309257 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 11115 E Us Highway 24, Independence, MO 64054-1567 | 2006-09-22 |
| 1699872267 | Hartig Drug Co Corp | Pharmacy | 200 1st St E, Independence, IA 50644-2813 | 2006-09-17 |
| 1821191651 | Ohio Cvs Stores LLC | Pharmacy | 6527 Brecksville Rd, Independence, OH 44131-4897 | 2006-09-07 |
| 1912017534 | Costco Wholesale Corporation | Pharmacy | 19040 E Valley View Pkwy, Independence, MO 64055 | 2006-08-30 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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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.