MEIJER STORES LIMITED PARTNERSHIP NPI 1528338332

NPI Information

  • NPI: 1528338332
  • Provider Name: MEIJER STORES LIMITED PARTNERSHIP
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEIJER PHARMACY #149
  • CLIA Number: 15D1008263
  • Address: 5150 FRANKLIN ST
    MICHIGAN CITY, IN
    ZIP 46360
  • Phone: (219) 877-2410

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NPI Details

MEIJER STORES LIMITED PARTNERSHIP is a clinic pharmacy pharmacy in Michigan City, IN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MEIJER STORES LIMITED PARTNERSHIP NPI is 1528338332. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #149.

The provider's business location address is:

5150 FRANKLIN ST
MICHIGAN CITY, IN
ZIP 46360-878
Phone: (219) 877-2410
Fax: (219) 877-2465

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 15D1008263 - 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)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 1/10/2012 and was last updated on 3/21/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies60004967INDIANANo
23336C0002XPharmacyClinic Pharmacy60004967INDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528338332MEDICAIDMICHIGAN
2201079310AMEDICAIDINDIANA
36685160015MEDICARE NSCINDIANA
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: 11/21/2025

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