SAMS WEST INC (NPI# 1477893949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477893949 |
| Entity Type | Organization |
| Organization Name | SAMS WEST INC |
| Other Organization Name | SAM'S CLUB PHARMACY 10-6377 |
| Practice Address |
2405 S Caraway Rd Jonesboro AR 72401-6208 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8702037055 |
| Mailing Telephone | 4792048705 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | LAURA LEVINE (MANAGER OF GOVERNMENT CONTRACT) |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20705 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 200906407 | 05 | |
| PK | 2139044 | 01 |
| Other Name | Type Code |
|---|---|
| Sam's Club Pharmacy 10-6377 | 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 |
| 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 |
| 1932496163 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1399 W Artesia Blvd, Gardena, CA 90248-3363 | 2011-07-08 |
| Street Address |
2405 S CARAWAY RD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577608 | Miranda Shea Wilkerson-ade | Pharmacist | 2405 S Caraway Rd, Jonesboro, AR 72401-6208 | 2020-10-28 |
| 1053911263 | Whitney Morales | Pharmacist | 2405 S Caraway Rd, Jonesboro, AR 72401-6208 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1376160747 | Reff Drugs Inc | Pharmacy | 1117 Battlecreek Rd Ste 860a, Jonesboro, GA 30236-2407 | 2020-07-01 |
| 1164986485 | Healthlink Pharmacy LLC | Pharmacy | 299 Flint River Rd, Jonesboro, GA 30238-4748 | 2019-01-31 |
| 1932612991 | Drugbuddies LLC | Pharmacy | 6457 Tara Blvd Ste 7, Jonesboro, GA 30236-1214 | 2017-11-13 |
| 1831536283 | West End Associates, Inc. | Pharmacy | 619 W Nettleton Ave, Jonesboro, AR 72401-3970 | 2013-05-24 |
| 1265786354 | Nea Pharmaceuticals | Pharmacy | 1109 W. Parker Road, Jonesboro, AR 72404-9583 | 2012-10-29 |
| 1952404618 | Georgia Cvs Pharmacy LLC | Pharmacy | 8139 Tara Blvd, Jonesboro, GA 30236-3142 | 2006-09-07 |
| 1225050008 | Arkansas Cvs Pharmacy LLC | Pharmacy | 3000 E Highland Dr Ste A, Jonesboro, AR 72401-6376 | 2006-07-24 |
| 1134141005 | Stone's Pharmacy Inc | Pharmacy | 417 E Matthews Ave, Jonesboro, AR 72401-3142 | 2006-07-23 |
| 1982198388 | Anovorx Group, LLC | Pharmacy | 406 E Washington Ave, Jonesboro, AR 72401-3108 | 2018-06-19 |
| 1336544584 | Wpm Community Pharmacies, LLC | Pharmacy | 1903 Grant Ave Ste Iandj, Jonesboro, AR 72401-6134 | 2014-10-30 |
| Find all providers in JONESBORO | ||||
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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.