MEIJER, INC. (NPI# 1366943979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366943979 |
| Entity Type | Organization |
| Organization Name | MEIJER, INC. |
| Other Organization Name | MEIJER PHARMACY #302 |
| Practice Address |
3630 Us 41 W Marquette MI 49855 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-6402 |
| Practice Telephone | 9066626310 |
| Practice Fax Number | 9066626365 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | JASON BEAUCH (VICE PRESIDENT OF PHARMACY) |
| Authorized Official Telephone | 6167915032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1366943979 | 05 |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #302 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376007518 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 4665 S Green Ave, Fremont, MI 49412-9509 | 2019-01-22 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1750826525 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 1138 W 3 Mile Rd, Sault Sainte Marie, MI 49783-9132 | 2017-01-03 |
| 1265825574 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 15 Caberfae Hwy M-55, Manistee, MI 49660-1109 | 2015-03-11 |
| 1902299332 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 1251 M 32 W, Alpena, MI 49707-8105 | 2015-03-10 |
| 1881010205 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 1223 Phoenix St., South Haven, MI 49090-7911 | 2014-03-10 |
| 1902245293 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 1301 W 8 Mile Rd, Detroit, MI 48203-1021 | 2013-06-19 |
| 1851634232 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 4141 Morrish Rd., Swartz Creek, MI 48473 | 2013-04-03 |
| 1073870929 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 7157 E Saginaw St, East Lansing, MI 48823-9601 | 2012-04-17 |
| 1336464312 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 1201 Lears Rd, Petoskey, MI 49770-9252 | 2010-04-01 |
| Street Address |
3630 US 41 W |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639656135 | Michellee Seffrin | Pharmacist | 3630 Us 41 W, Marquette, MI 49855 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| 1487030482 | Anna Baumgartner | Optometrist | 131w. Washington Street, Marquette, MI 49855 | 2015-08-03 |
| Find all providers in zip 49855 | ||||
| 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 |
|---|---|---|---|---|
| 1144646290 | Peninsula Pharmacy Plus LLC | Pharmacy | 300 N Mcclellan Ave, Marquette, MI 49855-3920 | 2014-03-13 |
| 1417511981 | Gabrielle Smith | Pharmacy | 1414 W Fair Ave Ste 133, Marquette, MI 49855-5408 | 2019-04-30 |
| 1073919049 | Peninsula Pharmacy Health Systems Campus LLC | Pharmacy | 580 W College Ave, Marquette, MI 49855-2736 | 2014-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.