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MEIJER STORES LIMITED PARTNERSHIP NPI 1083985956


NPI Information

NPI: 1083985956
Provider Name: MEIJER STORES LIMITED PARTNERSHIP

Doing Business As: MEIJER PHARMACY #165

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
611 E US HIGHWAY 30
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 650-3710
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MEIJER STORES LIMITED PARTNERSHIP is a community/retail pharmacy pharmacy in Merrillville, IN. 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 1083985956. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #165.

The provider's business location address is:

611 E US HIGHWAY 30
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 650-3710
Fax: (219) 650-3765

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 enumeration date for this NPI number is 1/24/2012 and was last updated on 3/24/2014.


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 Supplies60005267INDIANANo
23336C0003XPharmacyCommunity/Retail Pharmacy60005267INDIANAYes

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
1201079350AMEDICAIDINDIANA
26685160028MEDICARE NSCINDIANA
3=========002MEDICAIDILLINOIS
4M300060375MEDICARE PININDIANA

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: 11/14/2023

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