SAM'S PHARMACY 10-4992
NPI 1043455264
Pharmacy - Community/Retail Pharmacy in Elizabethtown, KY

Q: What is Sam's East Inc's NPI number?

The NPI number for Sam's East Inc is 1043455264. It was assigned to this organization in the NPPES registry on December 3, 2008. The provider is doing business as Sam's Pharmacy 10-4992.

Q: What is Sam's East Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Sam's East Inc was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 03, 2008

1500 RING RD, ELIZABETHTOWN, KY 42701(270) 763-0755 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sam's Pharmacy 10-4992 NPPES

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

SAM'S PHARMACY 10-4992 (NPI 1043455264) is a healthcare organization registered as a community/retail pharmacy in Elizabethtown, Kentucky and active in the NPI registry since December 2008. The organization lists Laura Levine, Mgr Of Government Contracting, as its authorized official.

NPPES Registry Identity

NPI1043455264

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSAM'S EAST INC

Location Address1500 RING RDElizabethtown, KY 42701-7984

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238 · Fax (479) 277-4331

Phone(270) 763-0755

Organization SubpartYesParent: Wal-mart Stores Inc

Authorized OfficialLaura LevineMgr Of Government Contracting · (479) 204-8550

Enumeration DateDecember 3, 2008

Last NPPES UpdateAugust 30, 2023

NPPES CertifiedAugust 30, 2023

✔ NPI 1043455264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in KY · P07309

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1500 RING RD, Elizabethtown, KY 42701

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Other Names 1

Doing Business AsSam's Pharmacy 10-4992

Other Identifiers 2

Other2118204Pk

Medicaid7100089090KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

158 services154 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

135 services135 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sam's East, Inc. carries, from the Medicare DMEPOS supplier directory.

Sam's East, Inc.

DMEPOS supplier · Elizabethtown, KY

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Does not accept Medicare assignment

Sam's East, Inc. has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20512955

Medicare Participant SinceMay 15, 2013

Supplier Location1500 Ring RdElizabethtown, KY 42701

Phone(270) 763-0755

Supplier Specialties

Pharmacy Optician

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

DR. VEMIHAN QAISI PHARMD

Pharmacist