Sams West Inc
Sams West Inc is a healthcare organization registered as Community/Retail Pharmacy in White Bear Lake, MN, holding Type 2 (organization) NPI 1366469769 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366469769 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sams West Inc |
| Other name | <Unavail> |
| Practice address | 1850 BUERKLE RD, White Bear Lake, MN, 55110 |
| Phone | 6517796710 |
| 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 | 261896 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048700700 | Medicaid | MN | — |
| 48700700 | Medicaid | MN | — |
| 2048225 | Other | — | PK |
Copy-ready billing details
Provider: Sams West Inc NPI: 1366469769 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1850 BUERKLE RD, White Bear Lake, MN, 55110
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245320175 | Sam'S Club Optical | Organization | Eyewear Supplier | White Bear Lake, MN |
| 1326593229 | Ada Stasny | Individual | Pharmacist | White Bear Lake, MN |
| 1144775982 | Barbara Beasy | Individual | Pharmacist | White Bear Lake, MN |
| 1992634034 | Teleoptometric Service, P.C. | Organization | Optometrist | White Bear Lake, MN |
Verify this record
Cross-check NPI 1366469769 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 type of organization is Sams West Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.