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Contact Information

SAMS EAST INC
3536 HAMMONS BLVD
JOPLIN, MO64804
 Phone: 417-624-3264
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SAMS EAST INC

NPI Number 1912925496
LBN Legal business name SAMS EAST INC
Authorized official KIMBERLY CANONIC - (SENIOR DIRECTOR, ENROLLMENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/17/2006
Last updated 06/17/2025 - About 12 months ago
Identifiers
MO License # 2002024073
MO Medicaid 188159
MO Medicaid 605987809
Other 2048826 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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