MEIJER STORES LIMITED PARTNERSHIP


Address: 6309 Lima Rd, Fort Wayne, IN 46818-1425
Phone: 2604971010

MEIJER STORES LIMITED PARTNERSHIP (NPI# 1578834974) 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) 1578834974
Entity Type Organization
Organization Name MEIJER STORES LIMITED PARTNERSHIP
Other Organization Name MEIJER PHARMACY #124
Practice Address 6309 Lima Rd
Fort Wayne
IN 46818-1425
Mailing Address 2929 Walker Ave Nw
Grand Rapids
MI 49544-6402
Practice Telephone 2604971010
Practice Fax Number 2604971065
Mailing Telephone 6167915185
Enumeration Date 2012-01-18
Last Update Date 2013-05-30
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 60004404 IN Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
60004404 IN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201079240A 05

Other Provider/Organization Names

Other Name Type Code
Meijer Pharmacy #124 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 6309 LIMA RD
City FORT WAYNE
State IN
Zip Code 46818-1425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275558140 Arcadia Healthcare Solutions, Inc. Nursing Care 6309 Lima Rd, Fort Wayne, IN 46818-1425 2006-07-13
1619359981 Andrew Jason Bergman Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2015-06-23
1952793861 Richard Hoch Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2015-03-02
1588076863 Ryan Ades Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-21
1619389095 John Phillip Purvis Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-20
1265843270 Amy Jennings Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-13
1013255884 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) 6309 Lima Rd, Fort Wayne, IN 46818-1425 2013-01-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710464938 Heather Smith Day Training/Habilitation Specialist 9434 Lima Road, Suite C, Fort Wayne, IN 46818 2018-07-20
1184146748 Danielle Macias Speech-Language Pathologist 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 2017-07-14
1801326533 Kimberly M Kindt Optometrist 9426 Lima Rd Ste C, Fort Wayne, IN 46818 2017-06-15
1578983359 Sarah Buzzard Occupational Therapy Assistant 9426 Lima Road, A, Fort Wayne, IN 46818 2014-04-21
1306196704 Peter Yang Gaw Go Occupational Therapist 3406 Bluefield Place, Fort Wayne, IN 46818 2012-09-12
1043593536 Carol Lynn Steinbach Massage Therapist 12101 Hand Rd., Fort Wayne, IN 46818 2011-09-21
1295058071 Summit Nutrition Services, LLC Dietitian, Registered 3027 Mariposa Place, Fort Wayne, IN 46818 2010-03-08
1184871899 The Arc of Northeast Indiana, Inc Intermediate Care Facility, Mentally Retarded 9104 Strathmore Lane, Fort Wayne, IN 46818 2008-08-25
1285851121 Angela Coleman Dentist 10505 Lima Road, Fort Wayne, IN 46818 2007-04-20
1942335534 Angela S King Dentist 9019 Lima Road, Fort Wayne, IN 46818 2007-02-22
Find all providers in zip 46818

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
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

Competitor

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City FORT WAYNE
Zip Code 46818

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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