MEIJER GREAT LAKES LIMITED PARTNERSHIP (NPI# 1205223070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205223070 |
| Entity Type | Organization |
| Organization Name | MEIJER GREAT LAKES LIMITED PARTNERSHIP |
| Other Organization Name | MEIJER PHARMACY #192 |
| Practice Address |
2013 Mcfarland Road Rockford IL 61107-6835 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-6402 |
| Practice Telephone | 8157218610 |
| Practice Fax Number | 8157218565 |
| Mailing Telephone | 6167913169 |
| Mailing Fax Number | 6167358532 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | JASON BEAUCH (DIRECTOR OF PHARMACY MANAGED CARE) |
| Authorized Official Telephone | 6167913169 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 054019347 | IL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054019347 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #192 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225669641 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 541 Puri Pkwy, Sycamore, IL 60178-9029 | 2020-02-04 |
| 1962866525 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 3800 Vollmer Rd, Flossmoor, IL 60422-1274 | 2016-04-11 |
| 1891159455 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 750 E Rollins Rd, Round Lake Beach, IL 60073-1340 | 2016-04-11 |
| 1518328806 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 2951 Heartland Crossing Blvd, Owensboro, KY 42303-7669 | 2016-03-14 |
| 1114314986 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 1770 West Lane, Machesney Park, IL 61115-1627 | 2015-04-20 |
| 1649686056 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 11305 Lincoln Rd., Mokena, IL 60448-2070 | 2014-07-07 |
| 1346650850 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 1676 Westpark Dr., Bowling Green, KY 42104-4712 | 2014-05-06 |
| 1134556277 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 3649 N. Vermilion St., Danville, IL 61832-1312 | 2013-10-03 |
| 1417398082 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 9200 S Western Ave, Evergreen Park, IL 60805-2500 | 2013-07-11 |
| 1013287853 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 4200 Conestoga Dr, Springfield, IL 62711-7962 | 2012-01-11 |
| Street Address |
2013 MCFARLAND ROAD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-6835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| 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 |
|---|---|---|---|---|
| 1144790791 | Javon Bea Hospital | Pharmacy | 8201 E Riverside Blvd Ste 1022, Rockford, IL 61114-2300 | 2018-11-27 |
| 1265929749 | Pointcore, Inc. | Pharmacy | 5666 E State St Ste 101, Rockford, IL 61108-2425 | 2018-04-19 |
| 1831558618 | Walgreen Co | Pharmacy | 1100 Broadway Ste 102, Rockford, IL 61104-1429 | 2016-02-22 |
| 1285025346 | Hodels-rubens Pharmacy | Pharmacy | 1029 S Main St, Rockford, IL 61101-1417 | 2015-02-11 |
| 1932116969 | Walgreen Co | Pharmacy | 2323 Charles St, Rockford, IL 61104-1550 | 2006-08-02 |
| 1699780841 | Walgreen Co | Pharmacy | 3803 Auburn St, Rockford, IL 61101-2501 | 2006-07-29 |
| 1235144403 | Walgreen Co | Pharmacy | 2525 S Alpine Rd, Rockford, IL 61108-7812 | 2006-07-29 |
| 1952344335 | Highland Park Cvs LLC | Pharmacy | 2454 S Alpine Rd, Rockford, IL 61108-7882 | 2006-06-14 |
| 1366483232 | Highland Park Cvs LLC | Pharmacy | 3134 11th St, Rockford, IL 61109-2273 | 2006-06-09 |
| 1548201411 | Highland Park Cvs LLC | Pharmacy | 3718 N Main St, Rockford, IL 61103-1612 | 2006-06-09 |
| Find all providers in ROCKFORD | ||||
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| 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.