What is Sams West Inc's NPI number?

Sams West Inc's National Provider Identifier (NPI) is 1003158676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Sams West Inc?

Sams West Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).

Where is Sams West Inc located?

Sams West Inc's practice location on file with NPPES is 5 Illini Dr, Glen Carbon, IL 62034-3929.

What is Sams West Inc's phone number?

The practice phone number listed in the NPPES registry for Sams West Inc is (618) 692-7568.

Does Sams West Inc accept Medicare?

Sams West Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Sams West Inc?

The authorized official listed on Sams West Inc's NPPES record is Kimberly Canonic, Senior Director, Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Sams West Inc's NPI active?

Yes — Sams West Inc's NPI (1003158676) is active in the NPPES registry as of the last update on 2025-06-06.

OrganizationActiveAccepts Medicare

Sams West Inc

NPI 1003158676 · Community/Retail Pharmacy · Glen Carbon, IL

Sams West Inc is a Community/Retail Pharmacy organization in Glen Carbon, IL (NPI 1003158676).

Provider details

NPI number: 1003158676
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Parent organization: Wal-Mart Stores Inc
Organization subpart: Yes
Authorized official: Kimberly Canonic, Senior Director, Enrollment(480) 277-6348
License: 054018277 (IL)

Practice location

5 Illini Dr

Glen Carbon, IL 62034-3929

Phone: (618) 692-7568

Fax: (618) 692-7633

Street-level locationGet directions

More IL providers

Mailing address

702 Sw 8th St

Bentonville, AR 72716-0445

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 054018277 (IL)
Suppliers

Other names (DBA / former)

Doing business as: Sam'S Pharmacy 10-4878

Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
13 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
535 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Administration of Influenza Virus VaccineG0008	285	$19
Admn Sarscov2 Vacc 1 Dose90480	229	$12
Administration of Pneumococcal VaccineG0009	21	$9

Typical Medicare-allowed amounts for these services range $9–$19 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Enumerated: 2013-03-21
Last updated: 2025-06-06
Certified: 2025-06-06

Frequently asked questions

What is Sams West Inc's NPI number?: Sams West Inc's National Provider Identifier (NPI) is 1003158676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Sams West Inc?: Sams West Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
Where is Sams West Inc located?: Sams West Inc's practice location on file with NPPES is 5 Illini Dr, Glen Carbon, IL 62034-3929.
What is Sams West Inc's phone number?: The practice phone number listed in the NPPES registry for Sams West Inc is (618) 692-7568.
Does Sams West Inc accept Medicare?: Sams West Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Sams West Inc?: The authorized official listed on Sams West Inc's NPPES record is Kimberly Canonic, Senior Director, Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Sams West Inc's NPI active?: Yes — Sams West Inc's NPI (1003158676) is active in the NPPES registry as of the last update on 2025-06-06.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

What this provider does (Medicare)

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Frequently asked questions

Profile Score

What this provider does (Medicare)