SAMS EAST INC (NPI# 1497158174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497158174 |
| Entity Type | Organization |
| Organization Name | SAMS EAST INC |
| Other Organization Name | SAM'S CLUB PHARMACY 10-6188 |
| Practice Address |
10901 Lakeline Mall Dr Austin TX 78717 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 5128728450 |
| Practice Fax Number | 5128728451 |
| Mailing Telephone | 4792048705 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | LAURA LEVINE (DIRECTOR OF HEALTHCARE CONTRAC) |
| 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 |
29432 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 469683 | 05 | |
| PK | 2149505 | 01 |
| Other Name | Type Code |
|---|---|
| Sam's Club Pharmacy 10-6188 | 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 |
| 1316330624 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2015-03-11 |
| Street Address |
10901 LAKELINE MALL DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730213901 | Sharareh Salkhordeh | Optometrist | 10901 Lakeline Mall Dr, Austin, TX 78717-5924 | 2007-03-16 |
| 1730780248 | Eric Tran | Pharmacist | 10901 Lakeline Mall Dr, Austin, TX 78717-5924 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766290 | Eva Charo | Registered Nurse | 2036 Bel Paese Bend, Leander, TX 78717 | 2020-10-06 |
| 1568940591 | Hannah Joy Winger | Registered Nurse | 15510 Ranch Road 620 North. Apt 2104, Austin, TX 78717 | 2018-08-01 |
| 1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
| 1790204378 | May Paraan Harris | Nurse Practitioner | 162919 Ranch Road 620 N., Austin, TX 78717 | 2017-09-14 |
| 1386168706 | Zachary David Lewitz | Pharmacist | 14028 North Us 183, Austin, TX 78717 | 2017-07-27 |
| 1538608724 | Britex Walden Pllc | Clinic/Center | 9800 North Lake Creek Parkway, Suite # 150, Austin, TX 78717 | 2017-02-21 |
| 1639574338 | Sam's East, Inc. | Technician/Technologist | 10901 Lakeline Mall Dr., Austin, TX 78717 | 2014-10-24 |
| 1023453677 | Nw Dentistry and Orthodontics, PC | Dentist | 14028 North Us Highway 183, Suite 430, Austin, TX 78717 | 2013-05-08 |
| 1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
| 1891036703 | Paul Jeffrey Marchioni | Pharmacist | 14028 North Us Hwy. 183, Austin, TX 78717 | 2013-03-04 |
| Find all providers in zip 78717 | ||||
| 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] |
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| 1831737642 | Cvs Pharmacy, Inc | Pharmacy | 901 East 5 Th St, Suite 140, Austin, TX 78702-4071 | 2019-12-12 |
| 1972149680 | Capsule Austin LLC | Pharmacy | 210 W 7th St Ste B, Austin, TX 78701-2903 | 2019-11-18 |
| 1427617570 | Shubha LLC | Pharmacy | 1139 W Braker Ln Ste 102, Austin, TX 78758-4113 | 2019-06-12 |
| 1467921668 | Clearview Specialty LLC | Pharmacy | 8101 Cameron Rd Ste 303, Austin, TX 78754-3818 | 2018-11-16 |
| 1639679319 | Randall Legacy Inc | Pharmacy | 8825 Bee Caves Rd Ste A, Austin, TX 78746-4720 | 2018-02-19 |
| 1356863898 | Raiine's Specialty Pharmacy LLC | Pharmacy | 1301 W 38th St Ste 135, Austin, TX 78705-1033 | 2017-07-15 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| Find all providers in AUSTIN | ||||
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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.