Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sams East Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1134514391

Sams East Inc is a Durable Medical Equipment & Medical Supplies in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

849 Stoneridge Pkwy
Jefferson City, MO 65109-5034
Phone: (479) 204-8850
Fax: (479) 277-4331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2015021516 (MO)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1134514391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Sam'S Pharmacy 10-6505
NPI enumeratedApril 3, 2015
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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