Sams East Inc

Sams East Inc is a healthcare organization registered as Community/Retail Pharmacy in Bogart, GA, holding Type 2 (organization) NPI 1285651521 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI	1285651521
Entity type	Organization (Type 2)
Legal business name	Sams East Inc
Other name	<Unavail>
Parent organization	Wal-Mart Stores Inc
Practice address	4365 ATLANTA HWY, Bogart, GA, 30622
Phone	7065481913
Enumeration date	2006-07-16
Last updated in NPPES	2025-06-18

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	PHRE008605	GA

Other identifiers

Identifier	Type	State	Issuer
00885013J	Medicaid	GA	—
2014495	Other	—	PK

Copy-ready billing details

Provider: Sams East Inc
NPI: 1285651521
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 4365 ATLANTA HWY, Bogart, GA, 30622

Providers at this address

NPI	Name	Type	Specialty	Location
1578652194	Sam'S Club Optical	Organization	Eyewear Supplier	Bogart, GA

Verify this record

Cross-check NPI 1285651521 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-18. Verify at npiregistry.cms.hhs.gov.

Where is Sams East Inc located?

The practice location on file with NPPES is in Bogart, GA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-18.