Organization · Type 2 NPI

Sams East Inc

Community/Retail Pharmacy · Spartanburg, SC

NPI number 1033136205 Active

Practice location

200 Peachwood Centre Dr
Spartanburg, SC 29301-2586

Call (864) 595-2661 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	8209 (SC)

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 …

4 other providers at this address

Other community/retail pharmacy providers in Spartanburg

See all in Spartanburg →

NPI record

NPI: 1033136205
Entity type: Organization (Type 2)
Issued: Jul 16, 2006
Last updated: Jun 17, 2025
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Sam's Pharmacy 10-8142 · doing business as

Authorized official

Kimberly Canonic
Senior Director, Enrollment
(480) 853-0515

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1033136205

Sams East Inc's National Provider Identifier is 1033136205, issued on Jul 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Spartanburg, SC. The record was last updated on Jun 17, 2025.