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: August 09, 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

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.

Areas of Expertise CMS Part B claims 4

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.
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 Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sams Club Pharmacy 10-8288 carries, from the Medicare DMEPOS supplier directory.

Sams Club Pharmacy 10-8288

DMEPOS supplier · Midland, TXOperated by Sam's East, Inc.

Does not accept Medicare assignment

Sams Club Pharmacy 10-8288 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)20514425
Medicare Participant SinceMay 15, 2013
Supplier Location1500 Tradewinds BlvdMidland, TX 79706
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
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 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 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 1972919520. It was assigned to this organization in the NPPES registry on July 3, 2014. The provider is doing business as Sam's Club Pharmacy 10-8288.

Where is Sams East Inc located?

Sams East Inc is located at 1500 Tradewinds Blvd, Midland, TX 79706. The listed phone number is (432) 253-7669.

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, Sams Club Pharmacy 10-8288 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 52D2258302) is associated with this NPI, valid through April 19, 2028. 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 54 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 August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.