MEIJER STORES LIMITED PARTNERSHIP


Address: 3600 Portage Rd, South Bend, IN 46628
Phone: 5742733410

MEIJER STORES LIMITED PARTNERSHIP (NPI# 1033489844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033489844
Entity Type Organization
Organization Name MEIJER STORES LIMITED PARTNERSHIP
Other Organization Name MEIJER PHARMACY #120
Practice Address 3600 Portage Rd
South Bend
IN 46628
Mailing Address 2929 Walker Ave Nw
Grand Rapids
MI 49544-6402
Practice Telephone 5742733410
Practice Fax Number 5742733465
Mailing Telephone 6167913169
Mailing Fax Number 6167358532
Enumeration Date 2012-01-10
Last Update Date 2014-03-19
Authorized Official Name JASON BEAUCH (DIRECTOR OF PHARMACY MANAGED CARE)
Authorized Official Telephone 6167913169
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies 60004375 IN Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
60004375 IN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1033489844 05
IN 201079210A 05

Other Provider/Organization Names

Other Name Type Code
Meijer Pharmacy #120 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104458140 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 2020-02-07
1215569256 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 247 Tallmadge Rd., Kent, OH 44240 2020-02-07
1750845889 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 1810 Nagel Rd, Avon, OH 44011 2019-01-23
1558825786 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 4303 Kent Rd, Stow, OH 44224-4330 2019-01-22
1659872240 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 3801 N. Richmond Street, Grand Chute, WI 54913 2018-02-28
1275034860 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 405 Porters Vale Boulevard, Valparaiso, IN 46383 2018-02-28
1982149746 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 6939 W Broadway, Mccordsville, IN 46055-9008 2017-01-03
1144765900 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 2390 N Morton St, Franklin, IN 46131-9737 2017-01-03
1891230652 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 5800 W Layton Ave, Greenfield, WI 53220-4021 2017-01-03
1831548122 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 41255 Coca Cola Dr., Belleville, MI 48111 2016-06-07

Other Data Sources

Entity Type Entity Name Entity Address
Vermont Business Registrations MEIJER STORES LIMITED PARTNERSHIP 2929 Walker Nw, Grand Rapids, MI 49544

Office Location

Street Address 3600 PORTAGE RD
City SOUTH BEND
State IN
Zip Code 46628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750306627 Arcadia Healthcare Solutions, Inc. Nursing Care 3600 Portage Rd, South Bend, IN 46628-6037 2006-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700419249 Mahogany Maternity Doula 22500 Lincoln Way West, South Bend, IN 46628 2020-02-12
1093126120 Julie Collier Pharmacist 3600 Northportage Road, South Bend, IN 46628 2014-05-12
1588075717 J Curylo Pharmacist 3600 N Portage Rd, South Bend, IN 46628 2014-05-09
1609287986 Thomas Daniels Pharmacist 3600 North Portage Rd., South Bend, IN 46628 2014-05-08
1639467277 United Seating and Mobility LLC Durable Medical Equipment & Medical Supplies 3371 Cleveland Rd Ste 310, South Bend, IN 46628 2011-07-18
1497891014 Danielle Colleen Luten Homemaker 1830 N Brookfield, South Bend, IN 46628 2007-01-30
1700885498 Stephen D Kennedy Family Medicine 5838 W Brick Rd Ste 106, South Bend, IN 46628 2005-07-15
1205440666 Kristin Lynette Stringer Registered Nurse 53174 Flowing Stream Ct, South Bend, IN 46628 2020-09-03
1467687277 Leah Diane Craft Family Medicine 2235 Cleveland Rd, South Bend, IN 46628 2009-05-22
1518387216 Kendra Weber Specialist/Technologist 904 Woodbine Way, South Bend, IN 46628-1241 2014-04-21
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578015103 Martin's Super Markets, Inc. Pharmacy 525 S. Mayflower Rd, South Bend, IN 46619 2016-10-31
1306251061 University Commons Pharmacy Pharmacy 6301 University Commons Ste 500, South Bend, IN 46635-1478 2014-06-20
1326141003 Hook Superx LLC Pharmacy 2210 Edison Rd, South Bend, IN 46615-3514 2006-09-07
1255435640 Walgreen Co Pharmacy 1351 N Ironwood Dr, South Bend, IN 46615-3566 2006-09-07
1740295864 Walgreen Co Pharmacy 2845 W Cleveland Road Ext, South Bend, IN 46628-6188 2006-07-29
1285292722 Memorial Hospital of South Bend - Team Pharmacy Pharmacy 707 N Michigan St Ste 114, South Bend, IN 46601-1068 2019-05-30
1700957362 Memorial Home Care, Inc. Pharmacy 714 N Michigan St, South Bend, IN 46601-1035 2006-11-13
1396824108 Martin's Super Markets Pharmacy 926 Erskine Plz, South Bend, IN 46614-3244 2006-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457978439 Engleking Rx Marengo LLC Pharmacy 125 W Old Short St, Marengo, IN 47140-3225 2020-06-25
1992320519 Carrie Ann Dunnem Pharmacy 7355 Heritage Square Dr, Granger, IN 46530-5643 2020-06-09
1669095261 Abi Westend Pharmacy Pharmacy 602 N High School Rd Ste A-1, Indianapolis, IN 46214-3694 2020-05-19
1982224911 Apotheco Pharmacy Carmel LLC Pharmacy 12955 Old Meridian St Ste 102, Carmel, IN 46032-7193 2020-04-20
1922640077 Indiana University Health Bloomington Inc Pharmacy 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 2019-10-10
1831749399 Julie Cindric Pharmacy 720 Adams St Ste 100, Carmel, IN 46032-7541 2019-09-17
1346898889 Milan Pharmacy Inc Pharmacy 1935 N Capitol Ave Ste 120, Indianapolis, IN 46202-6403 2019-08-28
1093361867 Cameron Medical Outreach, Inc Pharmacy 306 E Maumee St Ste 106, Angola, IN 46703-2038 2019-08-16
1962055186 Custom Dosing East Pharmacy 4319 Franklin St, Michigan City, IN 46360-7806 2019-07-17
1659923894 Genoa Healthcare, LLC Pharmacy 4022 Hohman Ave Ste 103, Hammond, IN 46327-1239 2019-07-09
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Competitor

Search similar providers

City SOUTH BEND
Zip Code 46628

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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