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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Sams East Inc

Community/Retail Pharmacy in Boardman, OH · enumerated 2006 · authorized official Kimberly Canonic, Senior Director, Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396762498

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Sams East Inc
Other name <Unavail>
Parent organization Wal-Mart Stores Inc
Practice address 6361 South Ave, Boardman, OH, 44512
Phone (330) 965-1813
Enumeration date Jul 16, 2006
Last updated in NPPES Jun 16, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 021413300 (OH) Primary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone (480) 853-0515

Other identifiers

Identifier Type State Issuer
2452779 Medicaid OH —
2079659 Other — PK

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.

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Frequently asked questions

What is the NPI number for Sams East Inc?
The NPI for Sams East Inc is 1396762498, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Sams East Inc?
NPPES lists Kimberly Canonic (Senior Director, Enrollment) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-16.