Organization · Type 2 NPI

Sams East Inc

Community/Retail Pharmacy · Nicholasville, KY

NPI number 1720399306 Active

Practice location

103 Bryant Dr
Nicholasville, KY 40356-9225

Call (859) 881-0431 Map

Fax (859) 881-0638

Mailing address

1 Customer Dr, Ms 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	P07405 (KY)

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 Nicholasville

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NPI record

NPI: 1720399306
Entity type: Organization (Type 2)
Issued: Jun 29, 2010
Last updated: Jun 15, 2026
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Sams Pharmacy 10-4728 · doing business as
Sams Pharmacy 10-4728 · doing business as

Authorized official

Kimberly Canonic
SR Director
(480) 853-0515

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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 1720399306

Sams East Inc's National Provider Identifier is 1720399306, issued on Jun 29, 2010. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Nicholasville, KY. The record was last updated on Jun 15, 2026.