Active NPI
Sams East Inc
Doing business as Sam's Pharmacy 10-4903
- Community/Retail Pharmacy
- Fall River, MA
National Provider Identifier
1992137582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- DS89890
- Legal business name
- SAMS EAST INC
- Doing business as
- Sam's Pharmacy 10-4903
- Practice address
- 941 Grinnell St
Fall River, MA 02721-5215 - Phone
- (774) 627-3458
- NPI assigned
- Aug 6, 2013
- 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 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 | DS89890 | MA | Primary |
Addresses
Primary practice location
941 Grinnell St
Fall River, MA 02721-5215
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Phone (479) 204-8550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141546 | Other | PK | |
| 110022202D | Medicaid | MA |
Other names 1
- Sam's Pharmacy 10-4903
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Sams Pharmacy 10-6240
- Community/Retail Pharmacy
- Glendora, CA
- NPI 1104843440
Member Of
-
dba Walmart Pharmacy 10-5274
- Community/Retail Pharmacy
- Pearl City, HI
- NPI 1174541650
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451520000000",
"number": "1992137582",
"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",
"telephone_number": "479-204-8550",
"fax_number": "479-277-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 GRINNELL ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027215215",
"telephone_number": "774-627-3458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMS EAST INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-06",
"last_updated": "2015-12-31",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "MGR 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": "MA",
"license": "DS89890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2141546",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110022202D",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Pharmacy 10-4903",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.