Organization · Type 2 NPI

Sam's East, Inc.

Community/Retail Pharmacy · Orlando, FL

NPI number 1740737899 Active

Practice location

11920 Narcoossee Rd
Orlando, FL 32832-0000

Call (407) 204-8614 Map

Fax (407) 204-8627

Mailing address

702 SW 8th St, 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	None listed

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 …

6 other providers at this address

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NPI record

NPI: 1740737899
Entity type: Organization (Type 2)
Issued: Sep 7, 2016
Last updated: Jun 12, 2025
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Sam's Pharmacy10-4828 · doing business as

Authorized official

Kimberly Canonic
Senior Director, Enrollment
(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 1740737899

Sam's East, Inc.'s National Provider Identifier is 1740737899, issued on Sep 7, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Orlando, FL. The record was last updated on Jun 12, 2025.