Sams West Inc
Sams West Inc is a healthcare organization registered as Community/Retail Pharmacy in Glendora, CA, holding Type 2 (organization) NPI 1104843440 since 2006. The authorized official on file is Kimberly Canonic, Senior Director.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1104843440 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sams West Inc |
| Other name | <Unavail> |
| Parent organization | Wal-Mart Stores Inc |
| Practice address | 1301 S LONE HILL AVE, Glendora, CA, 91740 |
| Phone | 9093947978 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-16 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director |
| 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 | PHY45344 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1997975 | Other | — | PK |
| 463PHA453440 | Medicaid | CA | — |
Copy-ready billing details
Provider: Sams West Inc NPI: 1104843440 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1301 S LONE HILL AVE, Glendora, CA, 91740
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679666853 | Sam'S Club Optical | Organization | Eyewear Supplier | Glendora, CA |
| 1306029798 | Firstsight Vision Services, Inc. | Organization | Optometrist | Glendora, CA |
| 1699189852 | Janet Wilkerson | Individual | Optometrist | Glendora, CA |
| 1861896920 | Wayne Nguyen Le | Individual | Pharmacist | Glendora, CA |
| 1316474547 | K & L Optometric Group Inc | Organization | Optometrist | Glendora, CA |
| 1497245633 | Eddie Wong | Individual | Pharmacist | Glendora, CA |
Verify this record
Cross-check NPI 1104843440 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 2025-06-16.