OrganizationSams East Inc(<Unavail>)PharmacySuppliersPractice Address201 Lakeshore Pkwy, Homewood, AL 35209-7105(205) 941-0376(479) 277-1242PECOS EnrollmentBased on the most recent information from CMS, provider Sams East Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1265459572Provider TypeOrganizationFull NameSams East IncOther Name<Unavail>SubpartYesEnumeration Date7/16/2006Last Updated6/17/2025Contact InformationPractice LocationPractice Address201 Lakeshore Pkwy, Homewood, AL 35209-7105Phone(205) 941-0376FaxUnlisted FaxMailing LocationMailing Address702 SW 8th St, Bentonville, AR 72716-0445Phone(479) 277-1242FaxUnlisted FaxAuthorized OfficialNameCanonic, Kimberly (Senior Director, Enrollment)Phone(480) 853-0515Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense111823AlabamaCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID100003235DescriptionMedicaidIssuerUnlistedAlabamaID1994696DescriptionOtherIssuerPK