SAM'S WEST, INC. (NPI# 1922559343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922559343 |
| Entity Type | Organization |
| Organization Name | SAM'S WEST, INC. |
| Other Organization Name | SAM'S CLUB PHARMACY 10-4749 |
| Practice Address |
1250 Sourth Amity Rd Conway AR 72032 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5012057460 |
| Practice Fax Number | 5012057459 |
| Mailing Telephone | 4792771242 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | LAURA LEVINE (DIR. HEALTHCARE 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 218595407 | 05 |
| Other Name | Type Code |
|---|---|
| Sam's Club Pharmacy 10-4749 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1851790810 | Sam's West, Inc. | Technician/Technologist | 9851 S 71st Plaza, Papillion, NE 68133 | 2014-08-15 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1306863691 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 6570 Grand Ave, Gurnee, IL 60031-1621 | 2006-07-16 |
| 1518476704 | Sam's West, Inc. | Eyewear Supplier (Equipment, not the service) | 7100 Arroyo Crossing Pkwy, Las Vegas, NV 89113-4057 | 2017-09-20 |
| 1386182640 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1558805465 | Sam's West, Inc. | Technician/Technologist | 5940 Promenade Pkwy, Castle Rock, CO 80108 | 2016-12-12 |
| 1285092577 | Sam's West, Inc. | Technician/Technologist | 1200 S Hover St, Longmont, CO 80501-7902 | 2016-02-02 |
| 1003092438 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 7100 Arroyo Crossing Pkwy, Las Vegas, NV 89113-4057 | 2008-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SAM'S WEST, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Colorado Business Entities | SAM'S WEST, INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
| Iowa Business Entities | SAM'S WEST, INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | SAM'S WEST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Washington State Corporations | SAM'S WEST, INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | SAM'S WEST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
1250 SOURTH AMITY RD |
| City | CONWAY |
| State | AR |
| Zip Code | 72032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| 1285005140 | Conway Community Services | General Acute Care Hospital | 1555 Exchange Avenue, Conway, AR 72032 | 2015-10-16 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1023466281 | Sam's Club Pharmacy | Pharmacy | 1850 S Donaghey Ave, Conway, AR 72034-8659 | 2016-05-28 |
| 1588077283 | Cornerstone Pharmacy Conway, LLC | Pharmacy | 815 Hogan Ln Ste 10, Conway, AR 72034-7959 | 2014-06-10 |
| 1659619120 | Conway Medcare Pharmacy, LLC | Pharmacy | 2521 College Ave, Conway, AR 72034-6135 | 2013-01-17 |
| 1104186212 | Southside Pharmacy LLC | Pharmacy | 3320 4th Ave Ste F, Conway, SC 29527-6057 | 2012-05-22 |
| 1881909638 | Harps Food Stores, Inc | Pharmacy | 1120 E German Ln, Conway, AR 72032 | 2010-08-17 |
| 1669619094 | Saint-mark Enterprises 1906 LLC | Pharmacy | 2125 College Ave Ste 1, Conway, AR 72034-6387 | 2009-01-07 |
| 1851494629 | South Carolina Cvs Pharmacy LLC | Pharmacy | 707 Church St, Conway, SC 29526-4824 | 2006-09-07 |
| 1649373135 | South Carolina Cvs Pharmacy LLC | Pharmacy | 2296 Hwy 501 East, Conway, SC 29526 | 2006-09-07 |
| 1316969199 | Arkansas Cvs Pharmacy LLC | Pharmacy | 501 Elsinger Blvd, Conway, AR 72032-4717 | 2006-07-24 |
| Find all providers in CONWAY | ||||
Please comment or provide details below to improve the information on SAM'S WEST, INC..
| 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.