SAMS EAST INC – NPI #1912364365
Pharmacy

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 is a pharmacy located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1912364365 to SAMS EAST INC on January 15, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was last updated on Jun 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMS EAST INC below.

NPI Profile for
SAMS EAST INC

NPI Number
1912364365
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAMS EAST INC
Primary location
4101 N MAY AVE
OKLAHOMA CITY, OK 73112
Phone: (405) 200-0363 Fax:
Mailing address
702 SW 8TH ST
MAILSTOP 0445
BENTONVILLE, AR 72716-0445
Phone: (479) 204-1258 Fax: (479) 277-2331
Organization Subpart
No
Authorized Official
KIMBERLY CANONIC
SENIOR DIRECTOR, ENROLLMENT
Phone: (480) 277-6348
Updated
Certification Date
Jun 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SAMS EAST INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPK2157809
medicaidOK100246790M
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
OK 17521
3336C0003X
- Pharmacy / Community/Retail Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.