Organization · Type 2 NPI

Sams East Inc

Community/Retail Pharmacy · Edmond, OK

NPI number 1770923583 Active

Practice location

1117 W I-35 Frontage Rd.
Edmond, OK 73034

Call (405) 757-3802 Map

Fax (405) 757-3251

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	1-6347 (OK)

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: 1770923583
Entity type: Organization (Type 2)
Issued: Jun 26, 2013
Last updated: Jun 9, 2025
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Sam's Pharmacy 10-6267 · doing business as

Authorized official

Kimberly Canonic
Senior Director, Enrollment
(480) 277-6348

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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 1770923583

Sams East Inc's National Provider Identifier is 1770923583, issued on Jun 26, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Edmond, OK. The record was last updated on Jun 9, 2025.