SAM'S WEST INC
NPI 1306087820
Pharmacy - Community/Retail Pharmacy in Marion, IL

Active since March 12, 2009
2709 WALTON WAY, MARION, IL 62959(618) 997-8945 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 18, 2025, Sep 13, 2019 (2 updates tracked since 2019).

About Sam's West Inc NPPES

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

SAM'S WEST INC (NPI 1306087820), doing business as Sam's Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Marion, Illinois and active in the NPI registry since March 2009. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1306087820
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAM'S WEST INC
Location Address2709 WALTON WAYMarion, IL 62959-4901
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 277-2500 · Fax (479) 277-4331
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateMarch 12, 2009
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1306087820 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 IL · 54016630
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
2709 WALTON WAY, Marion, IL 62959

Other Names 1

Doing Business AsSam's Pharmacy

Other Identifiers 1

Other1483041Ncpdp Provider Identification Number

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 329 times for 326 patients

Administration of pneumococcal vaccine

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.

This service was performed 22 times for 21 patients

Influenza vaccine, inactivated

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.

This service was performed 307 times for 307 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 11 times for 11 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

This service was performed 35 times for 34 patients

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
2709 WALTON WAY
MARION, IL 62959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306087820, enumerated as an "organization" on March 12, 2009.

The provider is located at 2709 WALTON WAY MARION, IL 62959 and the phone number is (618) 997-8945.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.