Organization · Type 2 NPI

Sams East Inc

Community/Retail Pharmacy · Myrtle Beach, SC

NPI number 1215954482 Active

Practice location

1946 10th Ave N
Myrtle Beach, SC 29577-5624

Call (843) 445-7179 Map

Fax (843) 445-7596

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	7025 (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 …

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NPI record

NPI: 1215954482
Entity type: Organization (Type 2)
Issued: Jul 16, 2006
Last updated: Jun 16, 2025
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Sams Pharmacy 10-6353 · 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.

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About NPI 1215954482

Sams East Inc's National Provider Identifier is 1215954482, issued on Jul 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 16, 2025.