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

Sams West Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1407873805

Sams West Inc is a Durable Medical Equipment & Medical Supplies in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
Specialties on file
3
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

3081 N Highway 112
Fayetteville, AR 72704
Phone: (479) 587-1853
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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 AR20143 (AR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1407873805
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores Inc
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Sams Pharmacy; Sams Pharmacy
NPI enumeratedJuly 16, 2006
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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