MEIJER INC (NPI# 1316087745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316087745 |
| Entity Type | Organization |
| Organization Name | MEIJER INC |
| Other Organization Name | MEIJER PHARMACY #067 |
| Practice Address |
1700 N Telegraph Rd Monroe MI 48162-9204 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-9424 |
| Practice Telephone | 7343848010 |
| Practice Fax Number | 7343848065 |
| Mailing Telephone | 6167913169 |
| Mailing Fax Number | 6167358532 |
| Enumeration Date | 2007-02-07 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5301005225 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005225 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0094522 | 05 | |
| MI | 2345595 | 05 |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #067 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619294105 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3610 Marketplace Cir, Rochester Hills, MI 48309-5515 | 2010-04-23 |
| 1942431093 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 2160 Hartland Rd, Hartland, MI 48353 | 2009-08-06 |
| 1790925360 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 250 Meijer Dr, Gaylord, MI 49735-7241 | 2009-02-23 |
| 1881834455 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3700 17 Mile Rd Ne, Cedar Springs, MI 49319 | 2009-02-23 |
| 1619124740 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 8089 Lapeer Rd, Davison, MI 48423-2529 | 2008-08-20 |
| 1497910988 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 9515 Birch Run Road, Birch Run, MI 48415-9613 | 2008-07-23 |
| 1780849349 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 40445 S Groesbeck Hwy, Clinton Twp, MI 48036-5005 | 2008-07-23 |
| 1679773659 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-19 |
| 1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
| 1790802601 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 12821 Crossover Dr, Dewitt, MI 48820-7993 | 2007-03-23 |
| Street Address |
1700 N TELEGRAPH RD |
| City | MONROE |
| State | MI |
| Zip Code | 48162-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890742 | Robert Kipplen | Pharmacist | 1700 N Telegraph Rd, Monroe, MI 48162-9204 | 2020-01-16 |
| 1932652161 | Alia Brodie | Pharmacy | 1700 N Telegraph Rd, Monroe, MI 48162-9204 | 2016-07-23 |
| 1184034530 | Julie Fisher | Pharmacist | 1700 N Telegraph Rd, Monroe, MI 48162-9204 | 2014-05-06 |
| 1730599671 | Amy Lapp | Pharmacist | 1700 N Telegraph Rd, Monroe, MI 48162-9204 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| 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 |
|---|---|---|---|---|
| 1649899915 | Tammy Lynn Berry | Pharmacy | 5075 Stewart Rd, Monroe, MI 48162-9633 | 2020-04-15 |
| 1508381658 | Walgreen Co | Pharmacy | 7900 Desiard St, Monroe, LA 71203-4936 | 2017-08-10 |
| 1033592514 | Brookshire Grocery Company | Pharmacy | 1801 N 18th St, Monroe, LA 71201-4401 | 2015-07-02 |
| 1265835946 | Wal-mart Stores East Lp | Pharmacy | 4430 Desiard St, Monroe, LA 71203-4532 | 2014-10-08 |
| 1235532045 | Wal-mart Stores East, Lp | Pharmacy | 1840 Mckeen Pl, Monroe, LA 71201-4465 | 2014-10-07 |
| 1962661082 | Walgreen Co | Pharmacy | 717 8th Ave, Monroe, WI 53566-4000 | 2008-06-04 |
| 1083736383 | St George Pharmacy LLC | Pharmacy | 557 Englishtown Rd, Ste 14, Monroe, NJ 08831-3042 | 2007-04-06 |
| 1538268883 | Eckerd Corporation | Pharmacy | 2 Lakes Rd, Monroe, NY 10950-2616 | 2006-09-22 |
| 1013012863 | Connecticut Cvs Pharmacy, L.L.C. | Pharmacy | 511 Monroe Turnpike, Monroe, CT 06468-2386 | 2006-09-14 |
| 1447354386 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 2901 Sterlington Rd, Monroe, LA 71203-2513 | 2006-09-12 |
| Find all providers in MONROE | ||||
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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.