P Praxis·MD
● Active Type 2 · Organization

Sams East Inc

Pharmacy·Mansfield, TX· NPI 1568802270 · Enumerated 2013 · 12 years on NPI
Sams East Inc is 1 of 5625 pharmacy organizations in Texas.
NPI age
12 years
Enumerated 2013-06-26
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Canonic
Senior Director, Enrollment
Last NPPES update
2025-06-05
Source: monthly bulk 2026-05

How this organization compares

Across 5625 active pharmacy providers in Texas.

NPI age
12 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
1740 North Fm 157
Mansfield, TX 76063
📞 8177796061fax 8177796060
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
📞 4792040709fax 4792774331

Authorized official

Kimberly Canonic
Senior Director, Enrollment
📞 4802776348

Specialties

  • Pharmacy Primary
    A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
    TX license #28739 taxonomy 3336C0003X
  • Durable Medical Equipment & Medical Supplies
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    taxonomy 332B00000X

Identifiers

TypeValueNotes
05 (TX) 1568802270
01 2141644 PK
05 (TX) 469676

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Sam's Pharmacy
    Type code 3 recorded 2016-08-31

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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