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SAMS WEST INC NPI 1366801557


NPI Information

NPI: 1366801557
Provider Name: SAMS WEST INC

Doing Business As: SAM'S PHARMACY 10-4987

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1200 S HOVER ST
LONGMONT, CO
ZIP 80501
Phone: (303) 845-4219
Get Directions

SAMS WEST INC is a pharmacy in Longmont, CO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SAMS WEST INC NPI is 1366801557. The provider is registered as an organization entity type.
The provider Is Doing Business As Sam's Pharmacy 10-4987.

The provider's business location address is:

1200 S HOVER ST
LONGMONT, CO
ZIP 80501-902
Phone: (303) 845-4219
Fax: (303) 682-6418

The provider's authorized official is Sarah Little .
The authorized official title is Dir. Healthcare Contract & Enrollme and has the following contact phone number (479) 277-2500.

The enumeration date for this NPI number is 2/16/2016 and was last updated on 8/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyPDO.1680000116COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12159365OTHERPK
21366801557MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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