Sams West Inc

Community/Retail Pharmacy · Addison, IL

Organization Active NPI

NPI number 1083985501

Practice location

1006 N Rohlwing Rd
Addison, IL 60101-1034
Phone
(630) 424-0486

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NPI record

NPI
1083985501
Entity type
Organization (Type 2)
Enumeration date
January 13, 2012
Last updated
June 17, 2025
Certified
June 17, 2025
Organization subpart
Yes
Parent organization
Wal-Mart Stores Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 054017870 IL
Durable Medical Equipment & Medical Supplies 332B00000X — —

Mailing address

702 SW 8TH St
Bentonville, AR 72716-6209
Phone
(479) 277-1238
Fax
(479) 277-4331

Authorized official

Name
Kimberly Canonic
Title
Senior Director, Enrollment
Phone
(480) 853-0515

Other names

  • Sams Pharmacy

About Sams West Inc

Sams West Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 1006 N Rohlwing Rd, Addison, IL 60101-1034. The NPI number 1083985501 was assigned on January 13, 2012 and the record was last updated on June 17, 2025.

Sams West Inc lists a license in the registry: #054017870 (IL) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Kimberly Canonic, Senior Director, Enrollment.

Frequently asked questions

What is the NPI number of Sams West Inc?

The NPI number is 1083985501.

What is the phone number of Sams West Inc?

The phone number listed for the practice location is (630) 424-0486.

Where is Sams West Inc located?

1006 N Rohlwing Rd, Addison, IL 60101-1034.

What is the taxonomy code for Sams West Inc?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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