1. Home
  2. Directory
  3. Arizona
  4. Surprise
  5. Pharmacy
  6. NPI Profile

SAM'S PHARMACY 10-4955
NPI 1679718894
Pharmacy - Community/Retail Pharmacy in Surprise, AZ

Active since December 03, 2008
16573 W BELL RD, SURPRISE, AZ 85374(623) 584-0728 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sam's Pharmacy 10-4955 NPPES

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

SAM'S PHARMACY 10-4955 (NPI 1679718894) is a healthcare organization registered as a community/retail pharmacy in Surprise, Arizona and active in the NPI registry since December 2008. The organization lists Laura Levine, Mgr Of Government Contracting, as its authorized official.

NPPES Registry Identity

NPI1679718894
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAM'S WEST INC
Location Address16573 W BELL RDSurprise, AZ 85374-9892
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1238 · Fax (479) 277-4331
Phone(623) 584-0728
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialLaura LevineMgr Of Government Contracting · (479) 204-8550
Enumeration DateDecember 3, 2008
Last NPPES UpdateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1679718894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AZ · Y005062
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.
16573 W BELL RD, Surprise, AZ 85374
Open in Google Maps ↗

Other Names 1

Doing Business AsSam's Pharmacy 10-4955

Other Identifiers 1

Other2118206Pk

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.
292 services288 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.
274 services274 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.
18 services18 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.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sam's Pharmacy 10-4955 carries, from the Medicare DMEPOS supplier directory.

Sam's Pharmacy 10-4955

DMEPOS supplier · Surprise, AZOperated by Sams West Inc
✔

Accepts Medicare assignment

Sam's Pharmacy 10-4955 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20452271
Medicare Participant SinceNovember 1, 2018
Supplier Location16573 W Bell RdSurprise, AZ 85374
Phone(623) 584-0728
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.

ALFONSO GUAGENTI
Pharmacist
16573 W BELL RD
SURPRISE, AZ 85374
Maricopa County (623) 584-0728
DR. ERIC SCOTT GIESE O.D.
Optometrist
16573 W BELL RD
SURPRISE, AZ 85374
Maricopa County (623) 584-0852
SAM'S CLUB OPTICAL
Technician/Technologist (Optician)
16573 W BELL RD
SURPRISE, AZ 85374
Maricopa County (623) 584-0852

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 Sam's West Inc's NPI number?

The NPI number for Sam's West Inc is 1679718894. It was assigned to this organization in the NPPES registry on December 3, 2008. The provider is doing business as Sam's Pharmacy 10-4955.

Where is Sam's West Inc located?

Sam's West Inc is located at 16573 W Bell Rd, Surprise, AZ 85374. The listed phone number is (623) 584-0728.

What is Sam's West Inc's specialty?

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

Does Sam's West Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Sam's Pharmacy 10-4955 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Sam's West 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 49 other insurers list Sam's West 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 Sam's West Inc was last updated on August 30, 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.