Sams West Inc
Sams West Inc is a healthcare organization registered as Community/Retail Pharmacy in Springfield, IL, holding Type 2 (organization) NPI 1033136338 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1033136338 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sams West Inc |
| Other name | <Unavail> |
| Parent organization | Wal-Mart Stores Inc |
| Practice address | 2300 W WHITE OAKS DR, Springfield, IL, 62704 |
| Phone | 2176985938 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-17 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4808530515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 54015295 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477175 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Sams West Inc NPI: 1033136338 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2300 W WHITE OAKS DR, Springfield, IL, 62704
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144230210 | James Walsh | Individual | Optometrist | Springfield, IL |
| 1245311919 | Sam'S Club Optical | Organization | Eyewear Supplier | Springfield, IL |
| 1235397449 | James P. Walsh O.D., LLC | Organization | Optometrist | Springfield, IL |
| 1184972705 | Olajide Animasaun | Individual | Pharmacist | Springfield, IL |
| 1861050445 | Tyler Wilsman | Individual | Hearing Instrument Specialist | Springfield, IL |
| 1891354940 | Gregory Belter | Individual | Hearing Instrument Specialist | Springfield, IL |
| 1801497789 | Justin Vadukumcherry | Individual | Pharmacist | Springfield, IL |
| 1407458722 | Sally Van Rheeden | Individual | Pharmacist | Springfield, IL |
Verify this record
Cross-check NPI 1033136338 against the authoritative CMS record: view Sams West Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Sams West Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.