SAMS WEST INC (NPI# 1770500068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770500068 |
| Entity Type | Organization |
| Organization Name | SAMS WEST INC |
| Other Organization Name | SAMS PHARMACY |
| Practice Address |
141 W North Ave Northlake IL 60164-2322 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7084921417 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-07-25 |
| 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 |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054014420 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2020736 | 01 |
| Other Name | Type Code |
|---|---|
| SAMS PHARMACY | 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 |
141 W NORTH AVE |
| City | NORTHLAKE |
| State | IL |
| Zip Code | 60164-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749639 | Daniel Michael Lynch I | Pharmacist | 141 W North Ave, Northlake, IL 60164-2389 | 2020-10-27 |
| 1710153069 | Frederick John Fagan | Optometrist | 141 W North Ave, Northlake, IL 60164-2322 | 2008-05-07 |
| 1295835312 | Sam's Club Optical | Technician/Technologist | 141 W North Ave, Northlake, IL 60164-2322 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625892 | Bazartogtokh Bayar | Technician | 2248 Calwagner Ave, Melrose Park, IL 60164 | 2019-08-22 |
| 1669809752 | Murry W Randell | Dentist | 338 E North Av, Northlake, IL 60164 | 2013-10-03 |
| 1023002318 | Presence Senior Services Chicagoland | Skilled Nursing Facility | 480 N Wolf Rd, North Lake, IL 60164 | 2005-09-01 |
| 1912165325 | Northlake Dental Clinic PC | Dentist | 161 E North Ave, Northlake, IL 60164 | 2008-06-02 |
| 1679658132 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 365 E North Ave, Northlake, IL 60164 | 2006-10-25 |
| 1932584059 | Vishali Banathia | Pharmacist | 2912 Marion Ave, Melrose Park, IL 60164-1002 | 2015-07-30 |
| 1821546938 | Anoop Banathia | Registered Nurse | 2912 Marion Ave, Melrose Park, IL 60164-1002 | 2016-09-18 |
| 1356596670 | Monica Saavedra-kulousek | Psychologist | 916 N Prater Ave, Melrose Park, IL 60164-1111 | 2008-12-01 |
| 1851644249 | Anjelica Sierra | Speech-Language Pathologist | 2944 Haber Ave, Melrose Park, IL 60164-1132 | 2012-10-22 |
| 1174910632 | Ellen Locke | Social Worker | 1000 N Wolf Rd, Northlake, IL 60164-1438 | 2015-04-22 |
| Find all providers in zip 60164 | ||||
| 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 |
|---|---|---|---|---|
| 1336154566 | Walgreen Co | Pharmacy | 6 E North Ave, Northlake, IL 60164-2516 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| 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.