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SAMS EAST INC NPI 1912364365


NPI Information

NPI: 1912364365
Provider Name: SAMS EAST INC

Doing Business As: SAM'S CLUB PHARMACY 10-7189

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4101 N MAY AVE
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 200-0363
Get Directions

SAMS EAST INC is a pharmacy in Oklahoma City, OK. 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 EAST INC NPI is 1912364365. The provider is registered as an organization entity type.
The provider Is Doing Business As Sam's Club Pharmacy 10-7189.

The provider's business location address is:

4101 N MAY AVE
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 200-0363

The provider's authorized official is Laura Levine .
The authorized official title is Dir Healthcare Conctract & Enrollme and has the following contact phone number (479) 204-8550.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 7/21/2016.


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
3333600000XPharmacy17521OKLAHOMAYes

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
1100246790MMEDICAIDOKLAHOMA
22157809OTHERPK
31248940476MEDICARE NSC

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: 11/14/2023

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