Sams East Inc
Sams East Inc is a healthcare organization registered as Community/Retail Pharmacy in Bangor, ME, holding Type 2 (organization) NPI 1457378721 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457378721 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sams East Inc |
| Other name | <Unavail> |
| Practice address | 47 HASKELL RD, Bangor, ME, 04401 |
| Phone | 2079459723 |
| 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 | PH50001119 | ME |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194900000 | Medicaid | ME | — |
| 2037514 | Other | — | PK |
Copy-ready billing details
Provider: Sams East Inc NPI: 1457378721 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 47 HASKELL RD, Bangor, ME, 04401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912094236 | Sam'S Club Optical | Organization | Eyewear Supplier | Bangor, ME |
| 1871079285 | Brian Hackett | Individual | Pharmacist | Bangor, ME |
| 1316424385 | Holly Dunning | Individual | Pharmacist | Bangor, ME |
| 1043812043 | Katharine Freudenberger | Individual | Pharmacist | Bangor, ME |
| 1154913291 | Dustin Waller | Individual | Pharmacist | Bangor, ME |
| 1093308546 | Jade Herman | Individual | Pharmacist | Bangor, ME |
| 1093543621 | Justin Ripley | Individual | Pharmacist | Bangor, ME |
Verify this record
Cross-check NPI 1457378721 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 2025-06-16.