Sam'S West Inc
NPI 1306087820 · Community/Retail Pharmacy · Marion, IL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sam'S West Inc is a Community/Retail Pharmacy organization in Marion, IL (NPI 1306087820).
Provider details
- NPI number
- 1306087820
- 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
17 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
578 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 | 329 | $19 |
| Admn Sarscov2 Vacc 1 Dose90480 | 227 | $12 |
| Administration of Pneumococcal VaccineG0009 | 22 | $2 |
Typical Medicare-allowed amounts for these services range $2–$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
- Doing business as
- Sam'S Pharmacy
Registry dates
- Enumerated
- 2009-03-12
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Frequently asked questions
- What is Sam'S West Inc's NPI number?
- Sam'S West Inc's National Provider Identifier (NPI) is 1306087820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sam'S West Inc?
- Sam'S West Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Sam'S West Inc located?
- Sam'S West Inc's practice location on file with NPPES is 2709 Walton Way, Marion, IL 62959-4901.
- What is Sam'S West Inc's phone number?
- The practice phone number listed in the NPPES registry for Sam'S West Inc is (618) 997-8945.
- Does Sam'S West Inc accept Medicare?
- Sam'S 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 Sam'S West Inc?
- The authorized official listed on Sam'S 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 Sam'S West Inc's NPI active?
- Yes — Sam'S West Inc's NPI (1306087820) is active in the NPPES registry as of the last update on 2025-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.