Sams West Inc
Sams West Inc is a healthcare organization registered as Community/Retail Pharmacy in Folsom, CA, holding Type 2 (organization) NPI 1891712022 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1891712022 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sams West Inc |
| Other name | <Unavail> |
| Parent organization | Wal-Mart Stores Inc |
| Practice address | 2495 IRON POINT RD # 11, Folsom, CA, 95630 |
| Phone | 9168178960 |
| 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 | PHY46602 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2112608 | Other | — | PK |
| 463PHA466020 | Medicaid | CA | — |
| PHA466020 | Medicaid | CA | — |
Copy-ready billing details
Provider: Sams West Inc NPI: 1891712022 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2495 IRON POINT RD # 11, Folsom, CA, 95630
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174612758 | Sam'S Club Optical | Organization | Eyewear Supplier | Folsom, CA |
| 1760665152 | Firstsight Vision Services, Inc. | Organization | Optometrist | Folsom, CA |
| 1942600069 | Arash Bozorgi | Individual | Pharmacist | Folsom, CA |
Verify this record
Cross-check NPI 1891712022 against the authoritative CMS record: view Sams West 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 a Type 2 NPI?
What type of organization is Sams West Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.