SAMS EAST INC
NPI 1962429290
Pharmacy - Community/Retail Pharmacy in Saint Louis, MO

Active since July 16, 2006CLIA 26D2126438 · Waiver
10735 W FLORISSANT AVE, SAINT LOUIS, MO 63136(314) 522-3420 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sams East Inc NPPES

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

SAMS EAST INC (NPI 1962429290), doing business as Sams Pharmacy 10-8125, is a healthcare organization registered as a community/retail pharmacy in Saint Louis, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1962429290
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAMS EAST INC
Location Address10735 W FLORISSANT AVESaint Louis, MO 63136-2403
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 18, 2025
NPPES CertifiedJune 18, 2025
NPI 1962429290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MO · 2000170340
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
Also ListedPharmacyTaxonomy 333600000X
10735 W FLORISSANT AVE, Saint Louis, MO 63136

Other Names 1

Doing Business AsSams Pharmacy 10-8125

Other Identifiers 2

Medicaid605223403MO
Other2048421Pk

Accepted 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 26D2126438

Sam's East, Inc Dba Sam's Pharmacy 10-8125 · Saint Louis, MO
Active · expires Feb 27, 2027
CLIA Number26D2126438
Laboratory TypePharmacy
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorChandler Stephens
Laboratory Phone(314) 522-3120
Laboratory LocationSam's East, Inc Dba Sam's Pharmacy 10-812510735 W Florissant Ave, Saint Louis, MO 63136
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.
65 services65 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.
58 services58 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Sam's Pharmacy 10-8125 carries, from the Medicare DMEPOS supplier directory.

Sam's Pharmacy 10-8125

DMEPOS supplier · Saint Louis, MOOperated by Sam's East, Inc.

Does not accept Medicare assignment

Sam's Pharmacy 10-8125 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)20512583
Medicare Participant SinceMay 15, 2013
Supplier Location10735 W Florissant AveSaint Louis, MO 63136
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 3

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

Pharmacy (Community/Retail Pharmacy)
10735 W FLORISSANT AVE
SAINT LOUIS, MO 63136
Pharmacist
10735 W FLORISSANT AVE
SAINT LOUIS, MO 63136
Eyewear Supplier
10735 W FLORISSANT AVE
SAINT LOUIS, MO 63136

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 1962429290. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Sams Pharmacy 10-8125.

Where is Sams East Inc located?

Sams East Inc is located at 10735 W Florissant Ave, Saint Louis, MO 63136. The listed phone number is (314) 522-3420.

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 Pharmacy 10-8125 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 Sams East Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2126438) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 50 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 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.