MEIJER STORES LIMITED PARTNERSHIP (NPI# 1639564578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639564578 |
Entity Type | Organization |
Organization Name | MEIJER STORES LIMITED PARTNERSHIP |
Other Organization Name | MEIJER PHARMACY #284 |
Practice Address |
7701 Green Bay Rd Kenosha WI 53142-4043 |
Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-6402 |
Practice Telephone | 2626121610 |
Practice Fax Number | 2626121665 |
Mailing Telephone | 6167913169 |
Mailing Fax Number | 6167358532 |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-07-09 |
Authorized Official Name | JASON BEAUCH (DIRECTOR OF PHARMACY MANAGED CARE) |
Authorized Official Telephone | 6167913169 |
Authorized Official Credential | R.PH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 9313 | WI | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9313 | WI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100045194 | 05 |
Other Name | Type Code |
---|---|
Meijer Pharmacy #284 | 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 |
7701 GREEN BAY RD |
City | KENOSHA |
State | WI |
Zip Code | 53142-4043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124569173 | Tobias Doherty | Pharmacist | 7701 Green Bay Rd, Kenosha, WI 53142-4043 | 2017-03-09 |
1184004194 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 7701 Green Bay Rd, Kenosha, WI 53142-4043 | 2015-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
Find all providers in zip 53142 |
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 |
---|---|---|---|---|
1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
1295014959 | Roundys Supermarkets Inc | Pharmacy | 2811 18th St, Kenosha, WI 53140-4665 | 2011-08-12 |
1891843157 | Roundys Supermarkets Inc | Pharmacy | 1901 63rd St, Kenosha, WI 53143-4467 | 2007-01-05 |
1285704890 | B7 Pharmacy, Inc. | Pharmacy | 3207 80th St, Suite 100, Kenosha, WI 53142-4908 | 2006-11-09 |
1356358238 | Walgreen Co | Pharmacy | 3805 80th St, Kenosha, WI 53142-4951 | 2006-08-02 |
1760497812 | Walgreen Co | Pharmacy | 3820 52nd St, Kenosha, WI 53144-2624 | 2006-07-29 |
1114951332 | Aurora Pharmacy Inc | Pharmacy | 7540 22nd Ave, Kenosha, WI 53143-5702 | 2006-07-11 |
1073554945 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 2207 80th St, Kenosha, WI 53143-5756 | 2006-06-09 |
1174564041 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 3726 22nd Ave, Kenosha, WI 53140-5300 | 2006-06-09 |
1891158440 | Sears Holdings Corporation | Pharmacy | 4100 52nd St, Kenosha, WI 53144-3900 | 2016-03-31 |
Find all providers in KENOSHA |
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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.