SAM'S EAST INC (NPI# 1780824425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780824425 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST INC |
| Other Organization Name | SAMS PHARMACY 10-6524 |
| Practice Address |
735 Southpark Blvd Colonial Heights VA 23834-3605 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 8045204182 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2013-07-16 |
| 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 |
0201004280 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2119136 | 01 |
| Other Name | Type Code |
|---|---|
| Sams Pharmacy 10-6524 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902102411 | Sam's East Inc | Technician/Technologist | Hwy 301 & Big Bend, Riverview, FL 33578 | 2011-01-31 |
| 1316180219 | Sam's East Inc | Durable Medical Equipment & Medical Supplies | 3805 North Blvd, Alexandria, LA 71301-3563 | 2009-04-08 |
| 1427298959 | Sam's East Inc | Pharmacy | 3465 Berlin Tpke, Newington, CT 06111-5106 | 2009-02-24 |
| 1043455264 | Sam's East Inc | Pharmacy | 1500 Ring Rd, Elizabethtown, KY 42701-7984 | 2008-12-03 |
| 1669805636 | Sam's East Inc | Technician/Technologist | 220 Jefferson Davis Hwy, Aiken, SC 29801 | 2013-08-14 |
| 1598107211 | Sam's East Inc | Technician/Technologist | 2474 Crosspointe Dr, Rock Hill, SC 29730-8185 | 2013-07-23 |
| 1659512861 | Sam's East Inc | Durable Medical Equipment & Medical Supplies | 611 Lycoming Mall Cir, Muncy, PA 17756-1826 | 2009-03-18 |
| 1174612055 | Sam's East Inc | Technician/Technologist | 9461 Webb Chapel Rd, Dallas, TX 75220 | 2006-10-11 |
| 1972697027 | Sam's East Inc | Technician/Technologist | 6185 Retail Rd, Dallas, TX 75231 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | SAM'S EAST INC. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Virginia Business Entities | SAM'S EAST INC. | 702 Sw 8th St, Bentonville, Arkansas 72716 |
| Street Address |
735 SOUTHPARK BLVD |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326223 | Kamy Fung | Pharmacist | 735 Southpark Blvd, Colonial Heights, VA 23834-3605 | 2020-11-04 |
| 1861093106 | Jonathan Layden | Pharmacist | 735 Southpark Blvd, Colonial Heights, VA 23834-3605 | 2020-11-03 |
| 1891395919 | Elizabeth Newman | Pharmacist | 735 Southpark Blvd, Colonial Heights, VA 23834-3605 | 2020-10-28 |
| 1083849947 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 735 Southpark Blvd, Colonial Heights, VA 23834-3605 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| 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 |
|---|---|---|---|---|
| 1043789449 | Temple Ave Pharmacy | Pharmacy | 2000 Snead Ave, Colonial Heights, VA 23834-2428 | 2018-11-15 |
| 1699876474 | Eckerd Corporation | Pharmacy | 3107 Colonial Square, Colonial Heights, VA 23834 | 2006-09-26 |
| 1831104884 | Walgreen Co | Pharmacy | 3201 Boulevard, Colonial Heights, VA 23834-1455 | 2006-07-29 |
| 1700808482 | Virginia Cvs Pharmacy LLC | Pharmacy | 721 Southpark Blvd, Colonial Heights, VA 23834-3606 | 2006-07-24 |
| 1396763751 | Pharmacy Plus Inc. | Pharmacy | 2029 Boulevard, Colonial Heights, VA 23834-2309 | 2006-07-17 |
| 1538636089 | Colonial Heights Pharmacy Inc | Pharmacy | 16021 Kairos Road, Ste B1, Colonial Heights, VA 23834 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
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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.