NPI 1891133286 · live from the CMS NPI Registry
Sams West INC
Pharmacy, Community/Retail Pharmacy in Casper, WY. National Provider Identifier 1891133286, active.
NPI record
| NPI | 1891133286 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 4600 E 2nd St, Casper, WY 82609 |
| Practice phone | 307-472-0124 |
| Mailing address | 702 Sw 8th St, Bentonville, AR 72716 |
| Enumerated | June 7, 2013 |
| Last updated | June 16, 2025 |
| Authorized official | Kimberly Canonic, Senior Director, Enrollment |
| Other names | Sam'S Club Pharmacy 10-6425 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | R10102 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.