Sams East Inc
Sams East Inc is a healthcare organization registered as Community/Retail Pharmacy in Jackson, MI, holding Type 2 (organization) NPI 1710904933 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1710904933 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sams East Inc |
| Other name | <Unavail> |
| Parent organization | Wal-Mart Stores Inc |
| Practice address | 3600 ONEIL DR, Jackson, MI, 49202 |
| Phone | 5177885961 |
| Fax | 5177886101 |
| 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 | 5301007700 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2364874 | Medicaid | MI | — |
| 2046473 | Other | — | PK |
Copy-ready billing details
Provider: Sams East Inc NPI: 1710904933 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3600 ONEIL DR, Jackson, MI, 49202
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497847693 | Sam'S Club Optical | Organization | Eyewear Supplier | Jackson, MI |
| 1457582983 | Katherine Potter | Individual | Optometrist | Jackson, MI |
Verify this record
Cross-check NPI 1710904933 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
Who is the authorized official for Sams East Inc?
What is the NPI number for Sams East Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.