MEIJER STORES LIMITED PARTNERSHIP (NPI# 1104196906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104196906 |
| Entity Type | Organization |
| Organization Name | MEIJER STORES LIMITED PARTNERSHIP |
| Other Organization Name | MEIJER PHARMACY #127 |
| Practice Address |
4522 Elkhart Rd Goshen IN 46526-5822 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-6402 |
| Practice Telephone | 5748753010 |
| Practice Fax Number | 5748753065 |
| Mailing Telephone | 6167913169 |
| Mailing Fax Number | 6167358532 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | JASON BEAUCH (DIRECTOR OF PHARMACY MANAGED CARE) |
| Authorized Official Telephone | 6167913169 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 60004473 | IN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60004473 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1104196906 | 05 | |
| IN | 201079010A | 05 |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #127 | Doing Business As Name - Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | MEIJER STORES LIMITED PARTNERSHIP | 2929 Walker Nw, Grand Rapids, MI 49544 |
| Street Address |
4522 ELKHART RD |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720003601 | Arcadia Healthcare Solutions, Inc. | Nursing Care | 4522 Elkhart Rd, Goshen, IN 46526-5822 | 2006-07-13 |
| 1699253161 | Cassie Marie Thain | Pharmacist | 4522 Elkhart Rd, Goshen, IN 46526-5822 | 2018-08-06 |
| 1750808234 | Nathan Cole | Pharmacist | 4522 Elkhart Rd, Goshen, IN 46526-5822 | 2017-08-25 |
| 1073030557 | Jeremy Ray Kauffman | Pharmacist | 4522 Elkhart Rd, Goshen, IN 46526-5822 | 2017-08-25 |
| 1124476130 | Jodi Lynn Hicks I | Pharmacist | 4522 Elkhart Rd, Goshen, IN 46526-5822 | 2016-05-31 |
| 1184034977 | John Dejong | Pharmacist | 4522 Elkhart Rd, Goshen, IN 46526-5822 | 2014-05-01 |
| 1912317835 | Eva Herman | Pharmacist | 4522 Elkhart Rd, Goshen, IN 46526-5822 | 2014-04-30 |
| 1013347723 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4522 Elkhart Rd, Goshen, IN 46526-5822 | 2013-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346319290 | Martin's Super Market | Pharmacy | 1527 Bashor Road, Goshen, IN 46528 | 2006-11-07 |
| 1760585509 | Cvs Albany LLC | Pharmacy | 98 Clowes Ave, Goshen, NY 10924-1923 | 2006-09-07 |
| 1164071692 | Cure Pharmacy Care II LLC | Pharmacy | 6 N Church St, Goshen, NY 10924-1550 | 2019-09-07 |
| 1548590847 | Goshen Hospital Association Inc | Pharmacy | 200 High Park Ave, Goshen, IN 46526-4810 | 2010-01-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEIJER STORES LIMITED PARTNERSHIP.
| 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.