SAMS WEST INC (NPI# 1063439172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063439172 |
| Entity Type | Organization |
| Organization Name | SAMS WEST INC |
| Other Organization Name | SAMS PHARMACY 10-4768 |
| Practice Address |
4835 Kietzke Ln Reno NV 89509-6549 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7758297922 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-07-31 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH01756 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2051607 | 01 | |
| NV | 2888091 | 05 |
| Other Name | Type Code |
|---|---|
| SAMS PHARMACY 10-4768 | 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 |
| 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 |
| Street Address |
4835 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip Code | 89509-6549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741541 | Daniel Paul June | Pharmacist | 4835 Kietzke Ln, Reno, NV 89509-6549 | 2018-05-23 |
| 1831553882 | Amelia Bacaoanu | Audiologist | 4835 Kietzke Ln, Reno, NV 89509-6549 | 2016-04-06 |
| 1184047045 | William Bailie | Pharmacist | 4835 Kietzke Ln, Reno, NV 89509-6549 | 2014-01-29 |
| 1063835023 | Elizabeth Dodge | Pharmacist | 4835 Kietzke Ln, Reno, NV 89509-6549 | 2014-01-28 |
| 1699197251 | Vision Eye Care LLC | Clinic/Center | 4835 Kietzke Ln, Reno, NV 89509-6549 | 2014-01-15 |
| 1932319944 | Leslynn May Catlett | Optometrist | 4835 Kietzke Ln, Reno, NV 89509-6549 | 2007-05-22 |
| 1841355245 | Robert Keleigh Horner | Optometrist | 4835 Kietzke Ln, Reno, NV 89509-6549 | 2006-12-26 |
| 1861586158 | Sam's Club Optical | Technician/Technologist | 4835 Kietzke Ln, Reno, NV 89509-6549 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| 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 |
|---|---|---|---|---|
| 1598314403 | Well Care Services Reno, LLC | Pharmacy | 275 S Wells Ave, Reno, NV 89502-1309 | 2019-09-04 |
| 1326519513 | Spectrum Pharmacy Services LLC | Pharmacy | 4690 Longley Ln # A-39, Reno, NV 89502-5954 | 2018-12-16 |
| 1992049928 | Integricare Clinical Associates Inc | Pharmacy | 10605 Double R Blvd, Reno, NV 89521-8920 | 2012-11-15 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| 1295910990 | Edge Medical LLC | Pharmacy | 5875 Tyrone Rd, Reno, NV 89502-6248 | 2008-01-02 |
| 1730224619 | Save Mart Supermarkets | Pharmacy | 195 W Plumb Ln, Reno, NV 89509-3450 | 2007-02-20 |
| 1639213705 | Save Mart Supermarkets | Pharmacy | 4995 Kietzke Ln, Reno, NV 89509-6548 | 2007-02-20 |
| 1720122898 | Save Mart Supermarkets | Pharmacy | 525 Keystone Ave, Reno, NV 89503-4304 | 2007-02-20 |
| 1588709463 | Save Mart Supermarkets | Pharmacy | 10500 N Mccarran Blvd, Reno, NV 89503-1873 | 2007-02-20 |
| 1427121334 | Renown Health Pharmacy | Pharmacy | 75 Pringle Way Ste 103, Reno, NV 89502-8424 | 2006-11-16 |
| Find all providers in RENO | ||||
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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.