MEIJER GREAT LAKES LTD PT (NPI# 1548650146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548650146 |
| Entity Type | Organization |
| Organization Name | MEIJER GREAT LAKES LTD PT |
| Practice Address |
12821 Cross Over Dr Dewitt MI 48820-7993 |
| Practice Telephone | 5176694610 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | ELIZABETH LINDER (PHARMACY SPECIALIST) |
| Authorized Official Telephone | 5173915807 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5302040403 | MI | Suppliers |
| Street Address |
12821 CROSS OVER DR |
| City | DEWITT |
| State | MI |
| Zip Code | 48820-7993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295158566 | Michael Murphy | Pharmacist | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2014-01-22 |
| 1801315015 | Swetha Dharmavaram Kottam | Pharmacist | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2017-09-19 |
| 1619369550 | Samantha Thomas | Pharmacist | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2015-03-02 |
| 1952717340 | Meijer | Pharmacy | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2014-07-07 |
| 1851702450 | Marcyanna Jorae | Pharmacist | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070660 | Safa Abugroun | Pharmacist | 13020 Old Us 27, Dewitt, MI 48820 | 2019-08-28 |
| 1881113645 | Joseph Wesley Zielinski | Physical Therapist | 13105 Shavey Rd. Suite 5, Dewitt, MI 48820 | 2017-09-13 |
| 1366979973 | Brianna Bishop | Behavior Technician | 12450 Airport Rd, Dewitt, MI 48820 | 2017-05-12 |
| 1376882290 | Elements Behavioral Health Pllc | Social Worker | 1651 Pratt Rd, Dewitt, MI 48820 | 2013-02-13 |
| 1265697478 | Abigail Balger | Emergency Medicine | 805 E Geneva Dr, Dewitt, MI 48820 | 2008-07-28 |
| 1992910483 | Heide Ann Novack | Pharmacist | 13157 1/2 Schavey, Dewitt, MI 48820 | 2007-05-10 |
| 1275667321 | Andrea K Simons | Podiatrist | 13105 Schavey Road, Suite 2, Dewitt, MI 48820 | 2007-03-14 |
| 1649222423 | Dewitt Optometry PC | Optometrist | 12900 S Us-27, #7, Dewitt, MI 48820 | 2006-05-17 |
| 1700884467 | Michael R. Bunce | Pharmacist | 128 S Bridge St, Dewitt, MI 48820 | 2005-07-07 |
| 1023439452 | Mary Sieben | Pharmacist | 12821 Crossover Dr, Meijer Pharmacy 209, Dewitt, MI 48820 | 2014-01-03 |
| Find all providers in zip 48820 | ||||
| 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 |
|---|---|---|---|---|
| 1811902091 | Deans Pharmacies, Inc. | Pharmacy | 1640 S Whitehead Dr, Dewitt, AR 72042-2994 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
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| 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.