SAMS EAST INC
NPI 1912364365
Pharmacy in Oklahoma City, OK

Active since January 15, 2016
4101 N MAY AVE, OKLAHOMA CITY, OK 73112(405) 200-0363 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2025, Jun 16, 2016, Feb 15, 2016 and 2 more (5 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 1912364365), doing business as Sam's Club Pharmacy 10-7189, is a healthcare organization registered as a pharmacy in Oklahoma City, Oklahoma and active in the NPI registry since January 2016. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1912364365
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSAMS EAST INC
Location Address4101 N MAY AVEOklahoma City, OK 73112-6239
Mailing Address1 Customer Dr, Mailstop 0445Bentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJanuary 15, 2016
Last NPPES UpdateJune 15, 20265 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1912364365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in OK · 17521
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
4101 N MAY AVE, Oklahoma City, OK 73112

Other Names 2

Doing Business AsSam's Club Pharmacy 10-7189
Doing Business AsSam's Pharmacy 10-7189

Other Identifiers 2

Medicaid100246790MOK
Other2157809Pk

Accepted Insurance

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.
192 services191 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.
180 services180 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.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sams Club Pharmacy 10-7189 carries, from the Medicare DMEPOS supplier directory.

Sams Club Pharmacy 10-7189

DMEPOS supplier · Oklahoma City, OKOperated by Sam's East, Inc.

Does not accept Medicare assignment

Sams Club Pharmacy 10-7189 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)20514353
Medicare Participant SinceMay 15, 2013
Supplier Location4101 N May AveOklahoma City, OK 73112
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.

Other Providers at the Same Location NPPES 8

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

Specialist
4101 N MAY AVE
OKLAHOMA CITY, OK 73112
Pharmacist
4101 N MAY AVE
OKLAHOMA CITY, OK 73112
Hearing Instrument Specialist
4101 N MAY AVE
OKLAHOMA CITY, OK 73112
Pharmacist
4101 N MAY AVE
OKLAHOMA CITY, OK 73112
Pharmacist
4101 N MAY AVE
OKLAHOMA CITY, OK 73112
Eyewear Supplier
4101 N MAY AVE
OKLAHOMA CITY, OK 73112
Pharmacist
4101 N MAY AVE
OKLAHOMA CITY, OK 73112
Eyewear Supplier
4101 N MAY AVE
OKLAHOMA CITY, OK 73112

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 1912364365. It was assigned to this organization in the NPPES registry on January 15, 2016. The provider is doing business as Sam's Club Pharmacy 10-7189 and Sam's Pharmacy 10-7189.

Where is Sams East Inc located?

Sams East Inc is located at 4101 N May Ave, Oklahoma City, OK 73112. The listed phone number is (405) 200-0363.

What is Sams East Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Sams East Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Sams Club Pharmacy 10-7189 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 51 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 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.