Sams West Inc

Community/Retail Pharmacy Accepts Medicare


  
  1055 Harriman Pl, San Bernardino
California, 92408-4203

 909-796-1538   
Sams West Inc is a Community/Retail Pharmacy in San Bernardino, California. This organization is also known as sub part of Wal-mart Stores Inc. It is located at 1055 Harriman Pl, San Bernardino and it's customer support contact number is 909-796-1538. The authorized person of Sams West Inc is Kimberly Canonic who is Senior Director, Enrollment of the pharmacy and his contact number is 480-853-0515. Active license number of Sams West Inc is PHY46529 for Community/Retail Pharmacy in California. Sams West Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sams West Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Sams West Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Sams West Inc
Type: Community/Retail Pharmacy
Location:1055 Harriman Pl, San Bernardino,
California, 92408-4203
Phone:909-796-1538
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Kimberly Canonic
Position: Senior Director, Enrollment
Contact Number: 480-853-0515
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1447277678
Parent Organization: Wal-mart Stores Inc
NPI Enumeration Date: 16 Jul, 2006
NPI Last Update On: 17 Jun, 2025

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sams West Inc are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy PHY46529CaliforniaPrimary
Durable Medical Equipment & Medical Supplies Secondary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2112470OtherPk
463PHA465290MedicaidCalifornia
Medicare Enrollment:
Sams West Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
1850412321O20100930021316Sams West IncDME SUPPLIER - PHARMACY
Products Available:
Sams West Inc has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Mail Order
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Enteral Nutrients
  • Ostomy Supplies
  • Prosthetic Lenses: Conventional Contact Lenses
  • Prosthetic Lenses: Conventional Eyeglasses
  • Surgical Dressings
  • Walkers
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 702 Sw 8th St,
    Bentonville, Arkansas
    Zip: 72716-0445
    Phone Number: 479-277-1242
    Fax Number: --
    Patients can reach Sams West Inc at 1055 Harriman Pl, San Bernardino, California or can call on customer care at 909-796-1538.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.

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