SAM'S WEST INC (NPI# 1952543761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952543761 |
| Entity Type | Organization |
| Organization Name | SAM'S WEST INC |
| Other Organization Name | SAM'S PHARMACY 10-6614 |
| Practice Address |
4901 Santa Anita Ave El Monte CA 91731-1415 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6266526915 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2013-08-26 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49887 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2119646 | 01 |
| Other Name | Type Code |
|---|---|
| Sam's Pharmacy 10-6614 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306087820 | Sam's West Inc | Durable Medical Equipment & Medical Supplies | 2709 Walton Way, Marion, IL 62959-4901 | 2009-03-12 |
| 1679718894 | Sam's West Inc | Pharmacy | 16573 W Bell Rd, Surprise, AZ 85374-9892 | 2008-12-03 |
| 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 |
4901 SANTA ANITA AVE |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427467224 | Thinh Nguyen | Pharmacist | 4901 Santa Anita Ave, El Monte, CA 91731-1415 | 2014-08-05 |
| 1982012118 | Phong Vu Luu | Pharmacist | 4901 Santa Anita Ave, El Monte, CA 91731-1415 | 2014-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
| 1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
| 1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
| 1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
| 1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
| 1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
| 1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
| 1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
| Find all providers in zip 91731 | ||||
| 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 |
|---|---|---|---|---|
| 1417405150 | Cnc Pharmacy Inc | Pharmacy | 11245 Lower Azusa Rd Ste B, El Monte, CA 91731-1553 | 2016-09-12 |
| 1902250426 | Chang Ho Yoo | Pharmacy | 10410 Lower Azusa Rd Ste 102, El Monte, CA 91731-1277 | 2016-04-21 |
| 1396083705 | Thai Enterprises Inc | Pharmacy | 9814 Garvey Ave # 24-25, El Monte, CA 91733-1290 | 2013-01-18 |
| 1467598722 | Wellness Pharmacy Inc | Pharmacy | 10410 Lower Azusa Rd, El Monte, CA 91731-1277 | 2007-01-30 |
| 1962413542 | Botica El Monte | Pharmacy | 10808 Ramona Blvd, El Monte, CA 91731-2628 | 2006-08-10 |
| 1467497362 | Garfield Beach Cvs LLC | Pharmacy | 11940 Garvey Ave, El Monte, CA 91732-3598 | 2006-06-17 |
| 1134160013 | Garfield Beach Cvs LLC | Pharmacy | 9920 Garvey Ave, El Monte, CA 91733-1298 | 2006-06-09 |
| 1235125030 | Dong Tam Corporation | Pharmacy | 10050 E Garvey Ave, Ste 117, El Monte, CA 91733-2088 | 2005-09-27 |
| 1679031835 | Jyc Company, Inc | Pharmacy | 10410 Lower Azusa Rd Ste 102, El Monte, CA 91731-1277 | 2019-03-06 |
| 1558783738 | Allcare Pharmacy, Inc | Pharmacy | 11028 Lower Azusa Rd, El Monte, CA 91731-1440 | 2014-01-08 |
| Find all providers in EL MONTE | ||||
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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.