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SAM'S PHARMACY 10-4908
NPI 1174987861
Pharmacy in Owensboro, KY

Active since April 08, 2016
5240 FREDERICA ST, OWENSBORO, KY 42301(479) 277-1242(479) 277-4331 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2023, Aug 19, 2016 (2 updates tracked since 2016).

About Sam's Pharmacy 10-4908 NPPES

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

SAM'S PHARMACY 10-4908 (NPI 1174987861) is a healthcare organization registered as a pharmacy in Owensboro, Kentucky and active in the NPI registry since April 2016. The organization lists Laura Levine, Dir. Healthcare Contract & Enrollme, as its authorized official.

NPPES Registry Identity

NPI1174987861
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSAMS EAST INC
Location Address5240 FREDERICA STOwensboro, KY 42301-7420
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(479) 277-1242
Fax(479) 277-4331
Organization SubpartNo
Authorized OfficialLaura LevineDir. Healthcare Contract & Enrollme · (479) 204-8550
Enumeration DateApril 8, 2016
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1174987861 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
5240 FREDERICA ST, Owensboro, KY 42301
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Other Names 1

Doing Business AsSam's Pharmacy 10-4908

Other Identifiers 1

Other2159526Pk

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 4

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.
148 services147 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.
139 services139 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
17 services17 patients
Pneumococcal vaccine, 23-valent 90732
The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Sam's Club Pharmacy 10-4908 carries, from the Medicare DMEPOS supplier directory.

Sam's Club Pharmacy 10-4908

DMEPOS supplier · Owensboro, KYOperated by Sam's East, Inc.
⋮

Does not accept Medicare assignment

Sam's Club Pharmacy 10-4908 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)20514359
Medicare Participant SinceMay 15, 2013
Supplier Location5240 Frederica StOwensboro, KY 42301
Phone(270) 683-1930
Supplier Specialties
Pharmacy

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

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

ALEX L ROSAS
Hearing Instrument Specialist
5240 FREDERICA ST
OWENSBORO, KY 42301
Daviess County (270) 215-6517

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 Sams East Inc's NPI number?

The NPI number for Sams East Inc is 1174987861. It was assigned to this organization in the NPPES registry on April 8, 2016. The provider is doing business as Sam's Pharmacy 10-4908.

Where is Sams East Inc located?

Sams East Inc is located at 5240 Frederica St, Owensboro, KY 42301. The listed phone number is (479) 277-1242.

What is Sams East Inc's specialty?

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

Does Sams East Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Sam's Club Pharmacy 10-4908 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Sams East Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Sams East Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sams 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.