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

Sams East Inc

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

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

National Provider Identifier

1609893023

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 10431 Old Highway 49, Gulfport, MS, 39503
Phone (228) 864-0628
Enumeration date Jul 16, 2006
Last updated in NPPES Jun 17, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 06783 (MS) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
2047274 Other - PK
09471795 Medicaid MS -
0678301.2 Medicaid MS -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-17. Verify at npiregistry.cms.hhs.gov.
Where is Sams East Inc located?
The practice location on file with NPPES is in Gulfport, MS.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-17.