Active NPI
Sams East Inc
Doing business as Sams Pharmacy
- Community/Retail Pharmacy
- Pearland, TX
National Provider Identifier
1801141031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28199
- Legal business name
- SAMS EAST INC
- Doing business as
- Sams Pharmacy
- Practice address
- 15800 South Fwy
Pearland, TX 77584-1834 - Phone
- (713) 986-0087
- NPI assigned
- Jul 13, 2012
- Last updated
- Aug 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Levine
- Title
- MGR of Government Contracting
- Phone
- (479) 204-8550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28199 | TX | Primary |
Addresses
Primary practice location
15800 South Fwy
Pearland, TX 77584-1834
Mailing address
702 SW 8TH St
Bentonville, AR 72716-6209
Phone (479) 277-1238
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136193 | Other | PK | |
| 1801141031 | Medicaid | TX | |
| 469670 | Medicaid | TX |
Other names 1
- Sams Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121015000528 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 7012038581 | This NPI is an additional NPI on the enrollment |
| O20130208000242 | TX | DME Supplier - Pharmacy | 7012038581 | Practice locations: Pearland, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Sams Club Optical
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Sam's Club Optical 30-8268
- Eyewear Supplier
- North Richland Hills, TX
- NPI 1871682716
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Walmart Pharmacy 10-2050
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1043237142
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1801141031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727166209",
"telephone_number": "479-277-1238",
"fax_number": "479-277-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 SOUTH FWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775841834",
"telephone_number": "713-986-0087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMS EAST INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-13",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "MGR OF GOVERNMENT CONTRACTING",
"authorized_official_telephone_number": "479-204-8550"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "28199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2136193",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801141031",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "469670",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Sams Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sams Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.