SAM'S EAST, INC. (NPI# 1396271086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396271086 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC. |
| Other Organization Name | SAM'S PHARMACY 10-4855 |
| Practice Address |
261 Wilson Ave Hanover PA 17331 |
| Mailing Address |
702 Sw 8th St Ms 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 4792772500 |
| Practice Fax Number | 4792774331 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | SARAH C LITTLE (DIR HEALTHCARE CONTRACT & ENROLL) |
| Authorized Official Telephone | 4792772500 |
| 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 |
| Other Name | Type Code |
|---|---|
| Sam's Pharmacy 10-4855 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705595 | Sam's East, Inc. | Technician/Technologist | 1117 W I 35 Frontage Rd, Edmond, OK 73034-7398 | 2019-11-25 |
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1316499437 | Sam's East, Inc. | Durable Medical Equipment & Medical Supplies | 10100 Canal Crossing, Brunswick, GA 31525-6705 | 2016-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1740737899 | Sam's East, Inc. | Durable Medical Equipment & Medical Supplies | 11920 Narcoossee Rd, Orlando, FL 32832-0000 | 2016-09-07 |
| 1700270014 | Sam's East, Inc. | Durable Medical Equipment & Medical Supplies | 4062 Lbj Freeway, Dallas, TX 75244 | 2015-03-25 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1639574338 | Sam's East, Inc. | Technician/Technologist | 10901 Lakeline Mall Dr., Austin, TX 78717 | 2014-10-24 |
| 1578986758 | Sam's East, Inc. | Technician/Technologist | 621 N. Expressway 77, Harlingen, TX 78550 | 2014-01-24 |
| 1174140479 | Sam's East, Inc. | Technician/Technologist | 6922 S Mingo Rd, Tulsa, OK 74133-3216 | 2020-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SAM'S EAST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| New York State Corporations | SAM'S EAST, INC. | 111 Eighth Avenue, New York, New York 10011 |
| Connecticut Business Registrations | SAM'S EAST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Washington State Corporations | SAM'S EAST, INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
| Colorado Business Entities | SAM'S EAST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | SAM'S EAST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oklahoma Business Registrations | SAM'S EAST, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
261 WILSON AVE |
| City | HANOVER |
| State | PA |
| Zip Code | 17331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1225639776 | Matthew Wayne Veli | Pharmacist | 261 Wilson Ave, Hanover, PA 17331-1400 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1225599830 | Tawney Nicole Angeloff | Registered Nurse | 1227 Baltimore Street, Hanover, PA 17331 | 2019-03-27 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1073914073 | Luana Robinson | Counselor | 36 Wappler Drive, Hanover, PA 17331 | 2014-09-09 |
| 1225467350 | Jennifer Marie Sherde | Specialist/Technologist | 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 | 2013-11-08 |
| 1194078089 | Robyn Michelle Hess | Physician Assistant | 100 Eisenhower Dr, Hanover, PA 17331 | 2012-10-17 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| 1275811028 | Victoria Topper | Physician Assistant | 470 Eisenhower Drive, Hanover, PA 17331 | 2011-07-28 |
| Find all providers in zip 17331 | ||||
| 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 |
|---|---|---|---|---|
| 1851494579 | Hook Superx LLC | Pharmacy | 110 E Lagrange Rd, Hanover, IN 47243-9447 | 2006-09-07 |
| 1689784209 | Costco Wholesale Corporation | Pharmacy | 7077 Arundel Mills Cir, Hanover, MD 21076 | 2006-08-30 |
| 1508973884 | Hanover Home Health, Inc. | Pharmacy | 800 Carlisle St, Hanover, PA 17331-1703 | 2006-08-24 |
| 1942686936 | Weis Markets Inc | Pharmacy | 1424 Baltimore St, Hanover, PA 17331-8529 | 2015-08-03 |
| 1336276591 | Hanover Apothecary Inc. | Pharmacy | 310 Stock St, Suite 1, Hanover, PA 17331-2276 | 2007-02-27 |
| 1407922164 | Nells Inc | Pharmacy | 1424 Baltimore St, Hanover, PA 17331-8529 | 2006-11-27 |
| 1598848855 | Cvs Manchester Nh, L.L.C. | Pharmacy | 79 S Main St, Hanover, NH 03755-2012 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.