MEIJER INC (NPI# 1831239334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831239334 |
| Entity Type | Organization |
| Organization Name | MEIJER INC |
| Other Organization Name | MEIJER PHARMACY #063 |
| Practice Address |
30800 Little Mack Ave Roseville MI 48066-1700 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-9424 |
| Practice Telephone | 5864156110 |
| Practice Fax Number | 5864156165 |
| Mailing Telephone | 6167913169 |
| Mailing Fax Number | 6167358532 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-03-17 |
| 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 | 5301005162 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005162 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2345002 | 05 |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #063 | 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 |
30800 LITTLE MACK AVE |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899426 | Max Ameye | Pharmacist | 30800 Little Mack Ave, Roseville, MI 48066-1700 | 2020-07-28 |
| 1326499112 | David Filimon | Pharmacist | 30800 Little Mack Ave, Roseville, MI 48066-1700 | 2016-06-23 |
| 1841640042 | Erin Young | Pharmacist | 30800 Little Mack Ave, Roseville, MI 48066-1700 | 2016-06-17 |
| 1790195329 | Paula Spear | Pharmacist | 30800 Little Mack Ave, Roseville, MI 48066-1700 | 2014-05-05 |
| 1700296662 | Mario Angelo Aiosa | Pharmacist | 30800 Little Mack Ave, Roseville, MI 48066-1700 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| 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] |
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| 1639329816 | Rbf LLC | Pharmacy | 1201 Larpenteur Ave W, Roseville, MN 55113-6318 | 2008-09-24 |
| 1053469866 | Kaiser Foundation Health Plan Inc | Pharmacy | 1600 Eureka Rd Fl 2, Roseville, CA 95661-3027 | 2007-01-08 |
| 1760530372 | Kaiser Foundation Health Plan Inc | Pharmacy | 1840 Sierra Gardens Dr, Roseville, CA 95661-2912 | 2007-01-08 |
| 1891886974 | Family Drug Pharmacy, Inc | Pharmacy | 19011 E 10 Mile Rd Ste B, Roseville, MI 48066-3901 | 2006-09-27 |
| 1508978446 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 28774 Gratiot Ave, Roseville, MI 48066-4257 | 2006-08-31 |
| 1558471219 | Bel Air Market Inc | Pharmacy | 1039 Sunrise Ave, Roseville, CA 95661-7004 | 2006-08-30 |
| 1255344883 | Axlines Inc | Pharmacy | 125 North Main St, Roseville, IL 61473 | 2006-08-14 |
| 1245246883 | Walgreen Co | Pharmacy | 2635 Rice St, Roseville, MN 55113-3717 | 2006-08-01 |
| 1457373151 | Garfield Beach Cvs LLC | Pharmacy | 10451 Fairway Dr, Roseville, CA 95678-1987 | 2006-07-24 |
| Find all providers in ROSEVILLE | ||||
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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.