SAMS WEST INC (NPI# 1356368757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356368757 |
| Entity Type | Organization |
| Organization Name | SAMS WEST INC |
| Other Organization Name | SAM'S PHARMACY 10-4787 |
| Practice Address |
200 American Blvd W Bloomington MN 55420-1120 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9528886079 |
| Practice Fax Number | 9528886095 |
| Mailing Telephone | 4792586724 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-10-31 |
| Authorized Official Name | CORY JON GUNDBERG (SVP) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| 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 |
262274 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 470053800 | 05 | |
| PK | 2048384 | 01 |
| Other Name | Type Code |
|---|---|
| Sam's Pharmacy 10-4787 | Doing Business As Name - Organization |
| Walmart Pharmacy 10-4787 | 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 |
200 AMERICAN BLVD W |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032593 | Tien Vuong | Pharmacist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2020-10-27 |
| 1801494547 | Nunmoula Mazhari | Pharmacist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2020-10-14 |
| 1619431517 | Philip Brett Moore | Pharmacist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2019-01-24 |
| 1730460387 | Jason Layne Goetsch | Hearing Instrument Specialist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2011-09-08 |
| 1841439015 | Marti Ellen Sandwick | Pharmacist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2009-02-12 |
| 1215024724 | Sam's Club Optical | Technician/Technologist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| 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 |
|---|---|---|---|---|
| 1922640077 | Indiana University Health Bloomington Inc | Pharmacy | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-10-10 |
| 1962891820 | Hy Vee Inc | Pharmacy | 1403 N Veterans Pkwy, Bloomington, IL 61704-2201 | 2015-01-15 |
| 1649369299 | Catozzi Corporation | Pharmacy | 730 W 2nd St, Bloomington, IN 47403-2210 | 2006-10-12 |
| 1548353196 | Town & Country Pharmacies, Inc. | Pharmacy | 404 W. Second St., Bloomington, IN 47403 | 2006-10-02 |
| 1801996855 | Promise Health Inc | Pharmacy | 18671 Valley Blvd Unit B, Bloomington, CA 92316-1831 | 2006-09-22 |
| 1790881241 | Walgreen Co | Pharmacy | 7940 Penn Ave S, Bloomington, MN 55431-1315 | 2006-09-15 |
| 1265535785 | Hook Superx LLC | Pharmacy | 1000 N College Ave, Bloomington, IN 47404-2475 | 2006-09-07 |
| 1073616512 | Hook Superx LLC | Pharmacy | 2650 S. Walnut St., Bloomington, IN 47401-6559 | 2006-09-07 |
| 1780690370 | Walgreen Co | Pharmacy | 9800 Lyndale Ave S, Bloomington, MN 55420-4731 | 2006-08-01 |
| 1881609014 | Walgreen Co | Pharmacy | 1408 N Main St, Bloomington, IL 61701-1762 | 2006-07-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on SAMS 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.