Sams West INC
Pharmacy, Community/Retail Pharmacy in Colorado Springs, CO. Organization (NPI-2).
NPI number1629095906
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1629095906
- Entity type
- Organization (NPI-2)
- Legal business name
- Sams West INC
- Organization subpart
- Yes
- Enumeration date
- Jul 16, 2006
- Certification date
- Jun 16, 2025
- Last updated
- Jun 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 240000104 | CO | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Sams Pharmacy 10-6219 (Doing Business As)
Practice location
1850 E Woodmen RdColorado Springs, CO 80920-3326
Phone 719-277-0553
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
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All 96 Community/Retail Pharmacy providers in Colorado Springs · All 25,904 providers in Colorado Springs
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