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SAMS EAST INC
NPI 1336582097
Pharmacy - Community/Retail Pharmacy in Goldsboro, NC

Active since April 12, 2013CLIA 34D2130342 · Waiver
2811 N PARK DR, GOLDSBORO, NC 27534(919) 778-8042(919) 778-0696 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sams East Inc NPPES

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

SAMS EAST INC (NPI 1336582097), doing business as Sam's Pharmacy 10-6443, is a healthcare organization registered as a community/retail pharmacy in Goldsboro, North Carolina and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1336582097
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAMS EAST INC
Location Address2811 N PARK DRGoldsboro, NC 27534-7485
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-6375 · Fax (479) 277-4331
Phone(919) 778-8042
Fax(919) 778-0696
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateApril 12, 2013
Last NPPES UpdateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1336582097 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 NC · 11519
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
2811 N PARK DR, Goldsboro, NC 27534
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Other Names 1

Doing Business AsSam's Pharmacy 10-6443

Other Identifiers 2

Medicaid1336582097NC
Other2139856Pk

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 34D2130342

Sam's East, Inc Dba Sam's Pharmacy 10-6443 · Goldsboro, NC
Active · expires May 7, 2027
CLIA Number34D2130342
Laboratory TypePharmacy
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorKandice H. Baye
Laboratory Phone(919) 778-2591
Laboratory LocationSam's East, Inc Dba Sam's Pharmacy 10-64432811 N Park Drive, Goldsboro, NC 27534
CLIA data matches this NPI record on: Address Name
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.
141 services141 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.
131 services131 patients

Other Providers at the Same Location NPPES 2

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

KAYLYN RENEE THOMPSON PHARMD
Pharmacist
2811 N PARK DR
GOLDSBORO, NC 27534
Wayne County (919) 778-2591
DR. JAMES CHAMBERLAIN PHARMD
Pharmacist
2811 N PARK DR
GOLDSBORO, NC 27534
Wayne County (919) 778-2591

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 1336582097. It was assigned to this organization in the NPPES registry on April 12, 2013. The provider is doing business as Sam's Pharmacy 10-6443.

Where is Sams East Inc located?

Sams East Inc is located at 2811 N Park Dr, Goldsboro, NC 27534. The listed phone number is (919) 778-8042.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2130342) is associated with this NPI, valid through May 7, 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 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 June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.