Sams West Inc
Sams West Inc is a healthcare organization registered as Community/Retail Pharmacy in Pueblo, CO, holding Type 2 (organization) NPI 1245257526 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1245257526 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sams West Inc |
| Other name | <Unavail> |
| Parent organization | Wal-Mart Stores Inc |
| Practice address | 412 EAGLERIDGE BLVD, Pueblo, CO, 81008 |
| Phone | 7195530914 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-16 |
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 | 565 | CO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49234854 | Medicaid | CO | — |
| 2003701 | Other | — | PK |
Copy-ready billing details
Provider: Sams West Inc NPI: 1245257526 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 412 EAGLERIDGE BLVD, Pueblo, CO, 81008
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285723981 | Sam'S Club Optical | Organization | Eyewear Supplier | Pueblo, CO |
| 1497318448 | Eric Lorensen | Individual | Pharmacist | Pueblo, CO |
| 1184368334 | Ellington Eyecare Pllc | Organization | Optometrist | Pueblo, CO |
Verify this record
Cross-check NPI 1245257526 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
What is a Type 2 NPI?
What type of organization is Sams West Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-16.