MEIJER STORES LIMITED PARTNERSHIP (NPI# 1174893978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174893978 |
| Entity Type | Organization |
| Organization Name | MEIJER STORES LIMITED PARTNERSHIP |
| Other Organization Name | MEIJER PHARMACY #138 |
| Practice Address |
10301 E State Road 37 Fort Wayne IN 46835-9591 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-6402 |
| Practice Telephone | 2604921310 |
| Practice Fax Number | 2604921365 |
| Mailing Telephone | 6167913169 |
| Mailing Fax Number | 6167358532 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | MR. 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 | 60004475 | IN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60004475 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201078990A | 05 |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #138 | 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 |
10301 E STATE ROAD 37 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46835-9591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066676 | Gerald Ellis | Pharmacist | 10301 E State Road 37, Fort Wayne, IN 46835-9591 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
| 1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
| 1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
| 1497922090 | Michelle A Bailey | Registered Nurse | 6108 Maplecrest Road, Fort Wayne, IN 46835 | 2008-05-13 |
| 1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
| 1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
| 1639272339 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6220 St Joseph Center Rd, Fort Wayne, IN 46835 | 2006-09-07 |
| 1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
| 1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
| Find all providers in zip 46835 | ||||
| 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 |
|---|---|---|---|---|
| 1659576395 | Kroger Limited Partnership I | Pharmacy | 5300 Decatur Rd, Fort Wayne, IN 46806-3058 | 2007-06-20 |
| 1427253756 | Kroger Limited Partnership I | Pharmacy | 7008 Bluffton Rd, Fort Wayne, IN 46809-2706 | 2007-06-18 |
| 1689879074 | Kroger Limited Partnership I | Pharmacy | 1125 W State Blvd, Fort Wayne, IN 46808-3185 | 2007-06-18 |
| 1578768974 | Kroger Limited Partnership I | Pharmacy | 6310 E State Blvd, Fort Wayne, IN 46815-7023 | 2007-06-18 |
| 1679778989 | Kroger Limited Partnership I | Pharmacy | 10230 Chestnut Plaza Dr, Fort Wayne, IN 46814-8970 | 2007-06-18 |
| 1275737355 | Kroger Limited Partnership I | Pharmacy | 710 E Dupont Rd, Fort Wayne, IN 46825-2056 | 2007-06-13 |
| 1790989879 | Kroger Limited Partnership I | Pharmacy | 4120 N Clinton St, Fort Wayne, IN 46805-1230 | 2007-06-13 |
| 1043414121 | Kroser Limited Phartnership I | Pharmacy | 3105 N Anthony Blvd, Fort Wayne, IN 46805-2227 | 2007-06-13 |
| 1275636961 | Hook Superx LLC | Pharmacy | 2811 Getz Rd, Fort Wayne, IN 46804-3064 | 2006-09-07 |
| 1588767297 | Hook Superx LLC | Pharmacy | 7330 Lima Rd, Fort Wayne, IN 46818-1130 | 2006-09-07 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46835 |
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.