Sam Corp

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

SAM CORP

Practice address

1400 W 42ND St
Hialeah, FL 33012-7612

Phone

(305) 343-4443

NPI assigned

Jan 1, 2013

Organization subpart

Yes

Parent organization

ASFASDFASDFASDFAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Walton

Title

Prsident

Phone

(305) 334-3433

Specialties & licenses 1

Addresses

Other names 1

• asdfasdfasdf Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356998400000",
    "number": "1477899003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 42ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127612",
            "telephone_number": "305-343-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASFASDFASDFASDF",
        "enumeration_date": "2013-01-01",
        "last_updated": "2013-01-01",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRSIDENT",
        "authorized_official_telephone_number": "305-334-3433"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "asdfasdfasdf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.