SAMS EAST INC (NPI# 1316330624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316330624 |
| Entity Type | Organization |
| Organization Name | SAMS EAST INC |
| Other Organization Name | SAM'S PHARMACY 10-8189 |
| Practice Address |
200 Emily Dr Clarksburg WV 26301-5500 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 3049186056 |
| Mailing Telephone | 4792772500 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRAC & ENROL) |
| 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 |
MP0552415 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2150860 | 01 | |
| WV | 3910006996 | 05 |
| Other Name | Type Code |
|---|---|
| Sam's Pharmacy 10-8189 | 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 |
| 1235520057 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 1705 S Broadway St, Moore, OK 73160-5364 | 2015-02-16 |
| Street Address |
200 EMILY DR |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089090 | Patrick Moore | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-09-29 |
| 1912517368 | Mary Elliott | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-07-31 |
| 1902299746 | Sam's East, Inc. | Technician/Technologist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2015-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| 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 |
|---|---|---|---|---|
| 1669718706 | Medidoz Pharmacy LLC | Pharmacy | 23213 Stringtown Rd, Clarksburg, MD 20871-9363 | 2012-12-18 |
| 1558854828 | Procare Pharmacy & Cosmetic Beauty System LLC | Pharmacy | 23213 Stringtown Rd, Clarksburg, MD 20871-9363 | 2018-06-12 |
| 1487171005 | Walgreen Co | Pharmacy | 505 Rosebud Plz, Clarksburg, WV 26301-9380 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1396342150 | Stephen Claude Shrewsberry | Pharmacy | 240 Sweet Grass Ct, Rock, WV 24747-9542 | 2020-10-05 |
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 1629684162 | Fast & Friendly Pharmacy Buckhannon LLC | Pharmacy | 57 N Locust St, Buckhannon, WV 26201-2231 | 2020-09-21 |
| 1336754647 | Smph LLC | Pharmacy | 5759 Williamsport Pike, Suite 105, Falling Waters, WV 25419 | 2020-09-14 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.