MEDICARE: SAMS EAST INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	PP481585	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2087770	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144264888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMS EAST INC

Provider Business Mailing Address
First Line	:	702 SW 8TH ST
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72716-0445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	289 MT NEBO POINT DRIVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-1313
Country	:	US
Telephone Number	:	412-364-6815
Fax Number	:	412-364-6852

Authorized Official
Title or Position	:	SENIOR DIRECTOR, ENROLLMENT
Name	:	KIMBERLY CANONIC
Credential	:
Telephone Number	:	480-853-0515

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	06/18/2025

Similar Medicare Providers

1427080969 — ADEFUNKE OLAWAIYE M.D.
Practice Location Address:

259 MOUNT NEBO POINTE RD
PITTSBURGH, PA
15237-1313

Practice Phone: 412-366-2367
Practice Fax: 412-366-2368

1053338558 — APARNA TAYLOR
Practice Location Address:

259 MOUNT NEBO POINTE RD , UNIT E-18
PITTSBURGH, PA
15237-1313

Practice Phone: 412-366-2367
Practice Fax:

1386918613 — UPMC COMMUNITY MEDICINE INC
Practice Location Address:

259 MOUNT NEBO POINTE RD , UNIT E 18
PITTSBURGH, PA
15237-1313

Practice Phone: 412-366-2367
Practice Fax:

1306396155 — SAM'S CLUB PHARMACY
Practice Location Address:

289 MOUNT NEBO POINTE RD
PITTSBURGH, PA
15237-1313

Practice Phone: 412-364-6815
Practice Fax: 412-364-6852

1982183224 — RENAL TREATMENT CENTERS MID ATLANTIC INC
Practice Location Address:

251 MOUNT NEBO POINTE RD
PITTSBURGH, PA
15237-1313

Practice Phone: 412-364-3238
Practice Fax: 412-364-0523

1538624499 — BLANCOTT DIALYSIS, LLC
Practice Location Address:

259 MOUNT NEBO POINTE RD
PITTSBURGH, PA
15237-1313

Practice Phone: 412-364-3238
Practice Fax: 412-364-0523

Directions to “SAMS EAST INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.