SAM'S WEST INC (NPI# 1679718894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679718894 |
| Entity Type | Organization |
| Organization Name | SAM'S WEST INC |
| Other Organization Name | SAM'S PHARMACY 10-4955 |
| Practice Address |
16573 W Bell Rd Surprise AZ 85374-9892 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6235840728 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y005062 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2118206 | 01 |
| Other Name | Type Code |
|---|---|
| Sam's Pharmacy 10-4955 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952543761 | Sam's West Inc | Durable Medical Equipment & Medical Supplies | 4901 Santa Anita Ave, El Monte, CA 91731-1415 | 2009-03-26 |
| 1306087820 | Sam's West Inc | Durable Medical Equipment & Medical Supplies | 2709 Walton Way, Marion, IL 62959-4901 | 2009-03-12 |
| 1871930289 | Sam's West Inc | Technician/Technologist | 5 Illini Dr, Glen Carbon, IL 62034-3929 | 2013-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Sam's West Inc. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Virginia Business Entities | Sam's West Inc. | 702 Sw 8th St, Bentonville, Arkansas 72716-6209 |
| Street Address |
16573 W BELL RD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-9892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235552480 | Alfonso Guagenti | Pharmacist | 16573 W Bell Rd, Surprise, AZ 85374-9892 | 2014-01-23 |
| 1689810533 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 16573 W Bell Rd, Surprise, AZ 85374-9892 | 2008-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| 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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|---|---|---|---|---|
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| 1083806756 | Bashas' Inc. | Pharmacy | 15367 W Waddell Rd, Surprise, AZ 85379-5132 | 2007-08-15 |
| 1699865642 | German Dobson Cvs LLC | Pharmacy | 13870 W Greenway Rd, Surprise, AZ 85374 | 2006-10-13 |
| 1285675223 | Arizona Cvs Stores LLC | Pharmacy | 19505 N Sunrise Blvd, Surprise, AZ 85374-4739 | 2006-06-09 |
| 1912464066 | Medavail Pharmacy Inc. | Pharmacy | 15950 N Civic Center Plz, Surprise, AZ 85374-7464 | 2019-02-25 |
| 1669784476 | Arizona Pharmacy LLC | Pharmacy | 13991 W Grand Ave, Suite 100, Surprise, AZ 85374-3065 | 2010-07-09 |
| 1487758371 | German Dobson Cvs, L.L.C. | Pharmacy | 15474 W Greenway Rd, Surprise, AZ 85374-4348 | 2006-09-12 |
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| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1134757503 | Adhererx Incorporated | Pharmacy | 1343 N Colorado St Ste 109, Gilbert, AZ 85233-1618 | 2020-03-31 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1508417189 | Call's Community Pharmacy LLC | Pharmacy | 985 S Main St, Snowflake, AZ 85937-5501 | 2019-09-24 |
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| 1942864608 | Medavail Pharmacy Inc. | Pharmacy | 7 S Abrego Dr, Green Valley, AZ 85614-2401 | 2019-04-29 |
| 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.