Sams East Inc
Sams East Inc is a healthcare organization registered as Community/Retail Pharmacy in Longview, TX, holding Type 2 (organization) NPI 1639196702 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639196702 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sams East Inc |
| Other name | <Unavail> |
| Practice address | 3310 4TH ST, Longview, TX, 75605 |
| Phone | 9036632749 |
| 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 | 24327 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24327 | Medicaid | TX | — |
| 469686 | Medicaid | TX | — |
| 2098702 | Other | — | PK |
Copy-ready billing details
Provider: Sams East Inc NPI: 1639196702 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3310 4TH ST, Longview, TX, 75605
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063339810 | Troy Birmingham | Individual | Hearing Instrument Specialist | Longview, TX |
| 1124628482 | Allyson Martin | Individual | Pharmacist | Longview, TX |
| 1386244945 | Fangting Shi | Individual | Pharmacist | Longview, TX |
Verify this record
Cross-check NPI 1639196702 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 is the NPI number for Sams East Inc?
Who is the authorized official for Sams East Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-16.