Meijer Stores Limited Partnership

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02731050 Issued in OH

Legal business name

MEIJER STORES LIMITED PARTNERSHIP

Practice address

1355 N Lexington Springmill Rd
Mansfield, OH 44906-1126

Phone

(419) 747-8310

Fax

(419) 747-8365

NPI assigned

Jan 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Beauch, RPH

Title

Director of Pharmacy Managed Care

Phone

(616) 791-3169

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Meijer Pharmacy #126 Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Meijer Stores LP105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Meijer Stores Limited Partnership

  • Pharmacy
  • Canton, OH
  • NPI 1013668870
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Richmond Heights, OH
  • NPI 1023813094
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Aurora, OH
  • NPI 1033061486
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Findlay, OH
  • NPI 1033259502
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Lewis Center, OH
  • NPI 1033268305
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Austintown, OH
  • NPI 1063217024
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Lorain, OH
  • NPI 1073144408
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1073662151
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Delaware, OH
  • NPI 1083854632
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Maumee, OH
  • NPI 1114014362
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1174723167
  NPD tax ID
• Meijer Stores Limited Partnership

  • Community/Retail Pharmacy
  • Englewood, OH
  • NPI 1215092085
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1215086632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 WALKER AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495449424",
            "telephone_number": "616-791-3169",
            "fax_number": "616-735-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N LEXINGTON SPRINGMILL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061126",
            "telephone_number": "419-747-8310",
            "fax_number": "419-747-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIJER STORES LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "BEAUCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY MANAGED CARE",
        "authorized_official_telephone_number": "616-791-3169",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "02731050",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02731050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0918547",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meijer Pharmacy #126",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Service Company
• Monica Sue Medley, STNA
• Karyanne Meek, CNP
• Richard S Meeker, MSW, LISW
• Lori Beth Mehl
• Joanne Meizlish
• Stephen W Meldon, MD
• Melissa Becker, LLC
• Claire Mellema, DPT
• Sherrie Mellott

• Community/Retail Pharmacy in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.