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MEIJER STORES LIMITED PARTNERSHIP NPI 1639564578


NPI Information

NPI: 1639564578
Provider Name: MEIJER STORES LIMITED PARTNERSHIP

Doing Business As: MEIJER PHARMACY #284

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 52D2095204

Address:
7701 GREEN BAY RD
KENOSHA, WI
ZIP 53142
Phone: (262) 612-1610
Get Directions

MEIJER STORES LIMITED PARTNERSHIP is a community/retail pharmacy pharmacy in Kenosha, WI. 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 STORES LIMITED PARTNERSHIP NPI is 1639564578. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #284.

The provider's business location address is:

7701 GREEN BAY RD
KENOSHA, WI
ZIP 53142-043
Phone: (262) 612-1610
Fax: (262) 612-1665

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

The CLIA number assigned to this NPI record is 52D2095204 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2015 and was last updated on 7/9/2015.


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 Supplies9313WISCONSINNo
23336C0003XPharmacyCommunity/Retail Pharmacy9313WISCONSINYes

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
1K300218943MEDICARE PINWISCONSIN
26685160078MEDICARE NSCWISCONSIN
3100045194MEDICAIDWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.