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SAM'S EAST INC
NPI 1780824425
Pharmacy - Community/Retail Pharmacy in Colonial Heights, VA

Active since February 20, 2009CLIA 49D2131859 · Waiver
735 SOUTHPARK BLVD, COLONIAL HEIGHTS, VA 23834(804) 520-4182 Get Directions Write a Review

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

About Sam's East Inc NPPES

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

SAM'S EAST INC (NPI 1780824425), doing business as Sams Pharmacy 10-6524, is a healthcare organization registered as a community/retail pharmacy in Colonial Heights, Virginia and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1780824425
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAM'S EAST INC
Location Address735 SOUTHPARK BLVDColonial Heights, VA 23834-3605
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 277-1238 · Fax (479) 277-4331
Phone(804) 520-4182
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateFebruary 20, 2009
Last NPPES UpdateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1780824425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in VA · 0201004280
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.
735 SOUTHPARK BLVD, Colonial Heights, VA 23834
Open in Google Maps ↗

Other Names 1

Doing Business AsSams Pharmacy 10-6524

Other Identifiers 1

Other2119136Pk

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 49D2131859

Sam's East, LP D/B/A Sam's Pharmacy # 10-6524 · Colonial Heights, VA
Active · expires Jun 6, 2027
CLIA Number49D2131859
Laboratory TypePharmacy
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorJonathan Layden
Laboratory Phone(804) 520-4182
Laboratory LocationSam's East, LP D/B/A Sam's Pharmacy # 10-6524735 Southpark Boulevard, Colonial Heights, VA 23834
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 3

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.
267 services264 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.
251 services251 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.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sam's Pharmacy 10-6524 carries, from the Medicare DMEPOS supplier directory.

Sam's Pharmacy 10-6524

DMEPOS supplier · Colonial Heights, VAOperated by Sam's East, Inc.
⋮

Does not accept Medicare assignment

Sam's Pharmacy 10-6524 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)20512961
Medicare Participant SinceMay 15, 2013
Supplier Location735 Southpark BlvdColonial Heights, VA 23834
Phone(804) 520-4182
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
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
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
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 6

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

SAM'S CLUB OPTICAL
Technician/Technologist (Optician)
735 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 520-0508
KAMY FUNG
Pharmacist
735 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 520-4182
KIMBERLY DAWN FALCHI HIS, MSW
Hearing Instrument Specialist
735 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 451-2060
DR. JONATHAN LAYDEN PHARMD
Pharmacist
735 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 520-4182
ELIZABETH NEWMAN PHARMD
Pharmacist
735 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 520-4182
DINA ESTALEEN
Pharmacist
735 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 520-4182

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 East Inc's NPI number?

The NPI number for Sam's East Inc is 1780824425. It was assigned to this organization in the NPPES registry on February 20, 2009. The provider is doing business as Sams Pharmacy 10-6524.

Where is Sam's East Inc located?

Sam's East Inc is located at 735 Southpark Blvd, Colonial Heights, VA 23834. The listed phone number is (804) 520-4182.

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.

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

No. As a Medicare medical equipment supplier, Sam's Pharmacy 10-6524 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 Sam's East Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2131859) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sam's 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 Sam's 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 Sam's 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.