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SAM'S PHARMACY 10-4871
NPI 1316287998
Pharmacy - Community/Retail Pharmacy in Meridian, MS

Active since February 19, 2013CLIA 25D2126289 · Waiver
715 BONITA DR, MERIDIAN, MS 39301(601) 286-6035 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2023, Jun 13, 2016 (2 updates tracked since 2016).

About Sam's Pharmacy 10-4871 NPPES

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

SAM'S PHARMACY 10-4871 (NPI 1316287998) is a healthcare organization registered as a community/retail pharmacy in Meridian, Mississippi and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Laura Levine, Manager, Gov't Contracting, as its authorized official.

NPPES Registry Identity

NPI1316287998
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAMS EAST INC
Location Address715 BONITA DRMeridian, MS 39301-4603
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-0709 · Fax (479) 277-4331
Phone(601) 286-6035
Organization SubpartNo
Authorized OfficialLaura LevineManager, Gov't Contracting · (479) 204-8550
Enumeration DateFebruary 19, 2013
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1316287998 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 MS · 12013/1.2
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
715 BONITA DR, Meridian, MS 39301
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Other Names 1

Doing Business AsSam's Pharmacy 10-4871

Other Identifiers 1

Other2139018Pk

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 ›

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 25D2126289

Sam's Pharmacy 10-4871 · Meridian, MS
Active · expires Feb 22, 2027
CLIA Number25D2126289
Laboratory TypePharmacy
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorSarah R. Welch
Laboratory Phone(601) 286-6035
Laboratory LocationSam's Pharmacy 10-4871715 Bonita Dr, Meridian, MS 39301
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 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.
264 services263 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.
246 services246 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
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.
28 services28 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.
28 services28 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Sam's Pharamcy 10-4871 carries, from the Medicare DMEPOS supplier directory.

Sam's Pharamcy 10-4871

DMEPOS supplier · Meridian, MSOperated by Sam's East, Inc.
⋮

Does not accept Medicare assignment

Sam's Pharamcy 10-4871 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)20514827
Medicare Participant SinceMay 15, 2013
Supplier Location715 Bonita DrMeridian, MS 39301
Phone(601) 286-6035
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Enteral Nutrients
Enteral formula
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
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.

SAM'S EAST, INC.
Eyewear Supplier
715 BONITA DR
MERIDIAN, MS 39301
Lauderdale County (601) 286-6016
DR. SARAH ROBINSON WELCH PHARMD
Pharmacist
715 BONITA DR
MERIDIAN, MS 39301
Lauderdale County (601) 286-6035
TAYLER ALEXANDRIA FOE PHARMD
Pharmacist
715 BONITA DR
MERIDIAN, MS 39301
Lauderdale County (601) 482-4833
MICHELLE BOUDREAU MATTINGLY
Pharmacist
715 BONITA DR
MERIDIAN, MS 39301
Lauderdale County (601) 286-6035
SHERRI BROWNING WATKINS
Pharmacist
715 BONITA DR
MERIDIAN, MS 39301
Lauderdale County (601) 286-6035

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 1316287998. It was assigned to this organization in the NPPES registry on February 19, 2013. The provider is doing business as Sam's Pharmacy 10-4871.

Where is Sams East Inc located?

Sams East Inc is located at 715 Bonita Dr, Meridian, MS 39301. The listed phone number is (601) 286-6035.

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 Pharamcy 10-4871 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 25D2126289) is associated with this NPI, valid through February 22, 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 52 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 24, 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.