SAM'S EAST, INC.
NPI 1003794116
Pharmacy in Lebanon, TN

Active since August 26, 2025
600 WILLARD HAGAN DR, LEBANON, TN 37090(615) 994-4122 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sam's East, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM'S EAST, INC. (NPI 1003794116), doing business as Sam's Pharmacy 10-7673, is a healthcare organization registered as a pharmacy in Lebanon, Tennessee and active in the NPI registry since August 2025. The organization lists Kimberly Canonic, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1003794116
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSAM'S EAST, INC.
Location Address600 WILLARD HAGAN DRLebanon, TN 37090
Mailing Address1 Customer Drive, Ms 0445Bentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialKimberly CanonicDirector Of Health Care Contracting · (480) 277-6348
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
NPI 1003794116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
600 WILLARD HAGAN DR, Lebanon, TN 37090

Other Names 1

Doing Business AsSam's Pharmacy 10-7673

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
600 WILLARD HAGAN DR
LEBANON, TN 37090
Optometrist
600 WILLARD HAGAN DR
LEBANON, TN 37090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam's East, Inc.'s NPI number?

The NPI number for Sam's East, Inc. is 1003794116. It was assigned to this organization in the NPPES registry on August 26, 2025.

Where is Sam's East, Inc. located?

Sam's East, Inc. is located at 600 Willard Hagan Dr, Lebanon, TN 37090. The listed phone number is (615) 994-4122.

What is Sam's East, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Sam's East, Inc. was last updated on August 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.