SAMS PHARMACY 10-6371 – Community/Retail Pharmacy, NPI 1720005838
Community/Retail Pharmacy
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SAMS PHARMACY 10-6371
Walmart Home Office Main Entrance, 702, Southwest 8th Street, Bentonville, Benton County, Arkansas, 72712, United States
BENTONVILLE, AR 727160445
Phone: (479) 277-1242
Type: Mailing
Sam's Club, 14050, Worth Avenue, Potomac Mills, Woodbridge, Prince William County, Virginia, 22192, United States
WOODBRIDGE, VA 221924121
Phone: (703) 492-2906
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-08-31 (80 days away).
Enrollment records
1
Earliest due date
2026-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930003489 | O | Pharmacy | VA | 2026-08-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 382 | 46 | $0 |
| G0008 | Administration of influenza virus vaccine | 144 | 143 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 138 | 137 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 109 | 109 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 57 | 57 | $0 |
Insurance plans in this area (ZIP 72716)
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