MEIJER STORES LIMITED PARTNERSHIP (NPI# 1073883880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073883880 |
| Entity Type | Organization |
| Organization Name | MEIJER STORES LIMITED PARTNERSHIP |
| Other Organization Name | MEIJER PHARMACY #153 |
| Practice Address |
3820 S Western Ave Marion IN 46953-4901 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-6402 |
| Practice Telephone | 7656776810 |
| Practice Fax Number | 7656776865 |
| Mailing Telephone | 6167913169 |
| Mailing Fax Number | 6167358532 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2014-03-24 |
| 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 | 60004968 | IN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60004968 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201078600A | 05 |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #153 | 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 |
3820 S WESTERN AVE |
| City | MARION |
| State | IN |
| Zip Code | 46953-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811482789 | Alastair Hoang | Pharmacist | 3820 S Western Ave, Marion, IN 46953-4901 | 2018-06-24 |
| 1467995811 | Kaitlyn Hotz | Pharmacist | 3820 S Western Ave, Marion, IN 46953-4901 | 2016-12-01 |
| 1750793154 | Chris Powell | Pharmacist | 3820 S Western Ave, Marion, IN 46953-4901 | 2014-05-20 |
| 1093081127 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3820 S Western Ave, Marion, IN 46953-4901 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| 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 |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1548527757 | Medrelief Pharmacy LLC | Pharmacy | 2895 State Highway 77 S Ste 3, Marion, AR 72364-2371 | 2012-04-12 |
| 1528333689 | Marion Discount Drugs | Pharmacy | 5332 Dale Drive, Marion, MS 39342 | 2012-03-21 |
| 1992849764 | Johnny H Burns, T/a Marion Discont Pharmacy | Pharmacy | 134 Block St, Marion, AR 72364-1956 | 2007-02-16 |
| 1346344298 | Hook Superx LLC | Pharmacy | 4630 S Washington St., Marion, IN 46953-5350 | 2006-09-12 |
| 1912000662 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 307 Sturgis Rd, Marion, KY 42064-1240 | 2006-09-07 |
| 1164525804 | Virginia Cvs Pharmacy LLC | Pharmacy | 945 A N Main St, Marion, VA 24354 | 2006-09-07 |
| 1730282484 | Ohio Cvs Stores LLC | Pharmacy | 535 Delaware Ave, Marion, OH 43302-5051 | 2006-09-07 |
| 1699878652 | Marion Pharmacy Inc | Pharmacy | 103 East Main, Marion, MI 49665 | 2006-09-06 |
| 1063524908 | W & B Drugs Inc | Pharmacy | 119 N Baldwin Ave, Marion, IN 46952-3535 | 2006-08-31 |
| Find all providers in MARION | ||||
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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.