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 1740374891

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

Licensed in
CA
In the registry since
2006
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

17099 Brookhurst St
Fountain Valley, CA 92708-3601
Phone: (714) 965-0958
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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 PHY48207 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1740374891
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 10-6615
NPI enumeratedOctober 3, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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