Sams East Inc
Sams East Inc is a healthcare organization registered as Community/Retail Pharmacy in Raymore, MO, holding Type 2 (organization) NPI 1154763043 since 2013. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1154763043 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sams East Inc |
| Other name | <Unavail> |
| Parent organization | Wal-Mart Stores Inc |
| Practice address | 141 N DEAN AVE, Raymore, MO, 64083 |
| Phone | 8167650600 |
| Enumeration date | 2013-07-22 |
| 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 | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2013037339 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141551 | Other | — | PK |
| 1154763043 | Medicaid | MO | — |
Copy-ready billing details
Provider: Sams East Inc NPI: 1154763043 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 141 N DEAN AVE, Raymore, MO, 64083
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275450280 | Diane Briggs | Individual | Hearing Instrument Specialist | Raymore, MO |
| 1992305270 | Rebecca Reed | Individual | Pharmacist | Raymore, MO |
| 1215537469 | Bridget Colombo | Individual | Pharmacist | Raymore, MO |
| 1417559352 | Mary Morasch | Individual | Pharmacist | Raymore, MO |
Verify this record
Cross-check NPI 1154763043 against the authoritative CMS record: view Sams East 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
What type of organization is Sams East Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.