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SAMS EAST INC
NPI 1497158174
Pharmacy - Community/Retail Pharmacy in Austin, TX

Active since October 08, 2014
10901 LAKELINE MALL DR, AUSTIN, TX 78717(512) 872-8450(512) 872-8451 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2025, Aug 31, 2016 (2 updates tracked since 2016).

About Sams East Inc NPPES

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

SAMS EAST INC (NPI 1497158174), doing business as Sam's Club Pharmacy 10-6188, is a healthcare organization registered as a community/retail pharmacy in Austin, Texas and active in the NPI registry since October 2014. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1497158174
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAMS EAST INC
Location Address10901 LAKELINE MALL DRAustin, TX 78717
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 204-8705 · Fax (479) 277-4331
Phone(512) 872-8450
Fax(512) 872-8451
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateOctober 8, 2014
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1497158174 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 TX · 29432
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
10901 LAKELINE MALL DR, Austin, TX 78717
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Other Names 1

Doing Business AsSam's Club Pharmacy 10-6188

Other Identifiers 2

Other2149505Pk
Medicaid469683TX

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.
190 services187 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.
181 services181 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.
33 services33 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.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sam's Club Pharmacy 10-6188 carries, from the Medicare DMEPOS supplier directory.

Sam's Club Pharmacy 10-6188

DMEPOS supplier · Austin, TXOperated by Sam's East, Inc.
⋮

Does not accept Medicare assignment

Sam's Club Pharmacy 10-6188 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)20514299
Medicare Participant SinceMay 15, 2013
Supplier Location10901 Lakeline Mall DrAustin, TX 78717
Phone(512) 872-8450
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 3

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

MRS. SHARAREH SALKHORDEH O.D.
Optometrist
10901 LAKELINE MALL DR
AUSTIN, TX 78717
Williamson County (521) 246-3937
DR. ERIC TRAN PHARMD
Pharmacist
10901 LAKELINE MALL DR
AUSTIN, TX 78717
Williamson County (512) 872-8450
SARA BRABOY HO
Pharmacist
10901 LAKELINE MALL DR
AUSTIN, TX 78717
Williamson County (512) 872-8450

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 1497158174. It was assigned to this organization in the NPPES registry on October 8, 2014. The provider is doing business as Sam's Club Pharmacy 10-6188.

Where is Sams East Inc located?

Sams East Inc is located at 10901 Lakeline Mall Dr, Austin, TX 78717. The listed phone number is (512) 872-8450.

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 Club Pharmacy 10-6188 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 54 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 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.