Sams East Inc
NPI 1154763043 · Community/Retail Pharmacy · Raymore, MO
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sams East Inc is a Community/Retail Pharmacy organization in Raymore, MO (NPI 1154763043).
Provider details
- NPI number
- 1154763043
- 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) 853-0515
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 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
417 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 | 216 | $18 |
| Admn Sarscov2 Vacc 1 Dose90480 | 188 | $10 |
| Administration of Pneumococcal VaccineG0009 | 13 | $19 |
Typical Medicare-allowed amounts for these services range $10–$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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sam'S Pharmacy 10-8243
Registry dates
- Enumerated
- 2013-07-22
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is Sams East Inc's NPI number?
- Sams East Inc's National Provider Identifier (NPI) is 1154763043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sams East Inc?
- Sams East Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Sams East Inc located?
- Sams East Inc's practice location on file with NPPES is 141 N Dean Ave, Raymore, MO 64083-8398.
- What is Sams East Inc's phone number?
- The practice phone number listed in the NPPES registry for Sams East Inc is (816) 765-0600.
- Does Sams East Inc accept Medicare?
- Sams East 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 East Inc?
- The authorized official listed on Sams East 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 East Inc's NPI active?
- Yes — Sams East Inc's NPI (1154763043) is active in the NPPES registry as of the last update on 2025-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.