SAM'S PHARMACY 10-4985
NPI 1225263171
Pharmacy - Community/Retail Pharmacy in Springfield, MO

Active since May 21, 2009CLIA 26D2126050 · Waiver
745 W EL CAMINO ALTO ST, SPRINGFIELD, MO 65810(417) 881-9670 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sam's Pharmacy 10-4985 NPPES

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

SAM'S PHARMACY 10-4985 (NPI 1225263171) is a healthcare organization registered as a community/retail pharmacy in Springfield, Missouri and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Laura Levine, Mgr Of Government Contracting, as its authorized official.

NPPES Registry Identity

NPI1225263171
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAMS EAST INC
Location Address745 W EL CAMINO ALTO STSpringfield, MO 65810-1800
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238 · Fax (479) 277-4331
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialLaura LevineMgr Of Government Contracting · (479) 204-8550
Enumeration DateMay 21, 2009
Last NPPES UpdateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
NPI 1225263171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MO · 2009017977
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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
745 W EL CAMINO ALTO ST, Springfield, MO 65810

Other Names 1

Doing Business AsSam's Pharmacy 10-4985

Other Identifiers 2

Other2120427Pk
Medicaid1225263171MO

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2126050

Sam's East, Inc Dba Sam's Pharmacy 10-4985 · Springfield, MO
Active · expires Feb 16, 2027
CLIA Number26D2126050
Laboratory TypePharmacy
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorTammy Karr
Laboratory Phone(417) 881-9670
Laboratory LocationSam's East, Inc Dba Sam's Pharmacy 10-4985745 W El Camino Alto St, Springfield, MO 65810
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
226 services224 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.
220 services220 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sam's Pharmacy 10-4985 carries, from the Medicare DMEPOS supplier directory.

Sam's Pharmacy 10-4985

DMEPOS supplier · Springfield, MOOperated by Sam's East, Inc.

Does not accept Medicare assignment

Sam's Pharmacy 10-4985 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)20682635
Medicare Participant SinceMay 15, 2013
Supplier Location745 W El Camino Alto StSpringfield, MO 65810
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

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

Pharmacist
745 W EL CAMINO ALTO ST
SPRINGFIELD, MO 65810

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 1225263171. It was assigned to this organization in the NPPES registry on May 21, 2009. The provider is doing business as Sam's Pharmacy 10-4985.

Where is Sams East Inc located?

Sams East Inc is located at 745 W El Camino Alto St, Springfield, MO 65810. The listed phone number is (417) 881-9670.

What is Sams East Inc's specialty?

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

Does Sams East Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Sam's Pharmacy 10-4985 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.

Does Sams East Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2126050) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 50 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 with the weekly NPPES data releases published by CMS.