Active NPI
Sams West Inc
- Community/Retail Pharmacy
- Woodridge, IL
National Provider Identifier
1932126232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054015534
- Legal business name
- SAMS WEST INC
- Practice address
- 7300 Woodward Ave
Woodridge, IL 60517-2534 - Phone
- (630) 434-1416
- NPI assigned
- Jul 16, 2006
- Organization subpart
- Yes
- Parent organization
- WAL-MART STORES INC
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054015534 | IL | Primary |
Addresses
Primary practice location
7300 Woodward Ave
Woodridge, IL 60517-2534
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021806 | Other | PK |
Other names 1
- SAMS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130614000252 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850412321 |
30 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vernon Hills, IL; Springfield, IL; Rockford, IL; Quincy, IL; Peoria, IL; O Fallon, IL; Northlake, IL; Normal, IL… |
Other NPIs on the same Medicare enrollment 23
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Walmart Pharmact
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406246400000",
"number": "1932126232",
"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": "727160445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 WOODWARD AVE",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605172534",
"telephone_number": "630-434-1416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMS WEST INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WAL-MART STORES INC",
"enumeration_date": "2006-07-16",
"last_updated": "2014-07-25",
"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": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "054015534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2021806",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAMS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.