# SAMS EAST INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAL-MART STORES INC
- **Other names:** SAMS PHARMACY 10-8144
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609920057
- **Legal business name:** WAL-MART STORES INC
- **Authorized official:** KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
- **Authorized official phone:** (480) 853-0515

## Contact information

- **Practice address:** 1025 BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232-4103
- **Practice address phone:** (609) 485-2047
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00666900 | NJ | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 06/17/2025