SAM'S CLUB PHARMACY 10-8288
NPI 1972919520
Pharmacy - Community/Retail Pharmacy in Midland, TX

Active since July 03, 2014CLIA 52D2258302 · Waiver
1500 TRADEWINDS BLVD, MIDLAND, TX 79706(432) 253-7669(432) 253-7896 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2023, Aug 31, 2016, Feb 1, 2016 (3 updates tracked since 2016).

About Sam's Club Pharmacy 10-8288 NPPES

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

SAM'S CLUB PHARMACY 10-8288 (NPI 1972919520) is a healthcare organization registered as a community/retail pharmacy in Midland, Texas and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Laura Levine, Dir Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1972919520
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAMS EAST INC
Location Address1500 TRADEWINDS BLVDMidland, TX 79706-2833
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 277-1242 · Fax (479) 277-4331
Fax(432) 253-7896
Organization SubpartNo
Authorized OfficialLaura LevineDir Healthcare Contracting · (479) 204-8550
Enumeration DateJuly 3, 2014
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1972919520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TX · 29259
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
1500 TRADEWINDS BLVD, Midland, TX 79706

Other Names 1

Doing Business AsSam's Club Pharmacy 10-8288

Other Identifiers 3

Other2146779Pk
Medicaid1972919520TX
Medicaid470015TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 52D2258302

Sam's Club Pharmacy 10-8149 · Green Bay, WI
Active · expires Apr 19, 2028
CLIA Number52D2258302
Laboratory TypePharmacy
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorScott Fortney
Laboratory Phone(432) 253-7669
Laboratory LocationSam's Club Pharmacy 10-81492470 W Mason St, Green Bay, WI 54303
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2128811

Sam's Club Pharmacy 8288 · Midland, TX
Active · expires Apr 6, 2027
CLIA Number45D2128811
Laboratory TypePharmacy
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorKayla Roossinck
Laboratory Phone(432) 699-5933
Laboratory LocationSam's Club Pharmacy 82881500 Tradwinds Blvd, Midland, TX 79706
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. 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.
123 services121 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.
118 services118 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.
27 services27 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.
22 services22 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20514425
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • 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
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 4

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

Pharmacist
1500 TRADEWINDS BLVD
MIDLAND, TX 79706
Pharmacist
1500 TRADEWINDS BLVD
MIDLAND, TX 79706
Pharmacist
1500 TRADEWINDS BLVD
MIDLAND, TX 79706
Eyewear Supplier
1500 TRADEWINDS BLVD
MIDLAND, TX 79706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972919520, enumerated as an "organization" on July 03, 2014.

The provider is located at 1500 TRADEWINDS BLVD MIDLAND, TX 79706 and the phone number is (432) 253-7669.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.