MEIJER STORES LIMITED PARTNERSHIP NPI 1083985956

NPI Details

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 CLIA number assigned to this NPI record is 15D1008261 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Administration of pneumococcal vaccine (HCPCS:G0009)

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:

Other Identifiers

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