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MEIJER GREAT LAKES LIMITED PARTNERSHIP NPI 1518328806


NPI Information

NPI: 1518328806
Provider Name: MEIJER GREAT LAKES LIMITED PARTNERSHIP

Doing Business As: MEIJER PHARMACY #288

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 18D2113035

Address:
2951 HEARTLAND CROSSING BLVD
OWENSBORO, KY
ZIP 42303
Phone: (270) 359-7510
Get Directions

MEIJER GREAT LAKES LIMITED PARTNERSHIP is a community/retail pharmacy pharmacy in Owensboro, KY. The provider is 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. MEIJER GREAT LAKES LIMITED PARTNERSHIP NPI is 1518328806. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #288.

The provider's business location address is:

2951 HEARTLAND CROSSING BLVD
OWENSBORO, KY
ZIP 42303-669
Phone: (270) 359-7510
Fax: (270) 359-7565

The provider's authorized official is Jason Beauch .
The authorized official title is Vp Of Pharmacy Merchandising and has the following contact phone number (616) 791-3169.

The CLIA number assigned to this NPI record is 18D2113035 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2016 and was last updated on 7/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesP07750KENTUCKYNo
23336C0003XPharmacyCommunity/Retail PharmacyP07750KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16507510036MEDICARE NSCKENTUCKY
2K075940MEDICARE PINKENTUCKY
3201164000CMEDICAIDINDIANA
47100400750MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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