SAM'S EAST, INC.
NPI 1740737899
Pharmacy - Community/Retail Pharmacy in Orlando, FL

Q: What is Sam's East, Inc.'s NPI number?

The NPI number for Sam's East, Inc. is 1740737899. It was assigned to this organization in the NPPES registry on September 7, 2016. The provider is doing business as Sam's Pharmacy10-4828.

Q: What is Sam's East, Inc.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sam's East, Inc. was last updated on June 12, 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.

Active since September 07, 2016

11920 NARCOOSSEE RD, ORLANDO, FL 32832(407) 204-8614(407) 204-8627 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Mar 2, 2017, Sep 27, 2016 (3 updates tracked since 2016).

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About Sam's East, Inc. NPPES

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

SAM'S EAST, INC. (NPI 1740737899), doing business as Sam's Pharmacy10-4828, is a healthcare organization registered as a community/retail pharmacy in Orlando, Florida and active in the NPI registry since September 2016. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1740737899

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSAM'S EAST, INC.

Location Address11920 NARCOOSSEE RDOrlando, FL 32832-0000

Mailing Address702 Sw 8th St, Ms 0445Bentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331

Phone(407) 204-8614

Fax(407) 204-8627

Organization SubpartYesParent: Wal-mart Stores, Inc.

Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515

Enumeration DateSeptember 7, 2016

Last NPPES UpdateJune 12, 20253 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1740737899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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

11920 NARCOOSSEE RD, Orlando, FL 32832

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Other Names 1

Doing Business AsSam's Pharmacy10-4828

Other Identifiers 2

Medicaid019679901 DMEFL

Medicaid019679900FL

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 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.

88 services86 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.

84 services84 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sam's Pharmacy 10-4828 carries, from the Medicare DMEPOS supplier directory.

Sam's Pharmacy 10-4828

DMEPOS supplier · Orlando, FLOperated by Sam's East, Inc.

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Does not accept Medicare assignment

Sam's Pharmacy 10-4828 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)20514389

Medicare Participant SinceMay 15, 2013

Supplier Location11920 Narcoossee RdOrlando, FL 32832

Phone(407) 204-8614

Supplier Specialties

Pharmacy Optician

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.

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Other Providers at the Same Location NPPES 6

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

NARMEEN MANDANI

Pharmacist