DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MEIJER STORES LIMITED PARTNERSHIP

MEDICARE: MEIJER STORES LIMITED PARTNERSHIP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies60004376IN
23336C0003XCommunity/Retail Pharmacy60004376IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003186800
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEIJER STORES LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 2929 WALKER AVE NW
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49544-6402
Country : US
Telephone Number : 616-791-3169
Fax Number : 616-735-8532
Provider Business Practice Location Address
First Line : 5349 PIKE PLAZA RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-3011
Country : US
Telephone Number : 317-387-2410
Fax Number : 317-387-2415
Authorized Official
Title or Position : DIRECTOR OF PHARMACY MANAGED CARE
Name : JASON BEAUCH
Credential : RPH
Telephone Number : 616-791-3169
Provider Enumeration Date : 01/10/2012
Last Update Date : 03/25/2014

Similar Medicare Providers

1538579537 — DR. KEI MARUYAMA
Practice Location Address:
5349 W PIKE PLAZA RD
INDIANAPOLIS, IN
46254-3011
Practice Phone: 317-387-2410
Practice Fax: 317-387-2415
1780095190 — KIRK MURRAY
Practice Location Address:
5349 W PIKE PLAZA RD
INDIANAPOLIS, IN
46254-3011
Practice Phone: 317-387-2410
Practice Fax:
1881049724 — ELLYN LOHR PHARMD
Practice Location Address:
5349 W PIKE PLAZA RD
INDIANAPOLIS, IN
46254-3011
Practice Phone: 317-387-2410
Practice Fax:
1659811289 — EBONY PATHAK PHARM.D.
Practice Location Address:
5349 W PIKE PLAZA RD
INDIANAPOLIS, IN
46254-3011
Practice Phone: 317-387-2410
Practice Fax:
1902383532 — MOLLY STEINKAMP RPH
Practice Location Address:
5349 W PIKE PLAZA RD
INDIANAPOLIS, IN
46254-3011
Practice Phone: 317-387-2410
Practice Fax:
1245794015 — MATTHEW TRAN
Practice Location Address:
5349 W PIKE PLAZA RD
INDIANAPOLIS, IN
46254-3011
Practice Phone: 317-387-2410
Practice Fax:

Directions to “MEIJER STORES LIMITED PARTNERSHIP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.