Meijer

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.295904 Issued in IL

Legal business name

MEIJER

Practice address

1770 W Lane Rd
Machesney Park, IL 61115-1627

Phone

(815) 721-8710

NPI assigned

Feb 13, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jacque Wyffels, RPH

Title

Pharmacist

Phone

(815) 721-8710

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455321600000",
    "number": "1538528971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 W LANE RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151627",
            "telephone_number": "815-721-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 W LANE RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151627",
            "telephone_number": "815-721-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIJER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-13",
        "last_updated": "2016-02-13",
        "status": "A",
        "authorized_official_last_name": "WYFFELS",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "815-721-8710",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.295904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danette Maynard
• Cheryl L McArdle Culhane, LCSW
• Kelly Janel McKenzie, APRN
• James Glenn McNally, R.N.
• Julie Ann McNally, R.N.
• Meijer Great Lakes Limited Partnership
• Mercyhealth Visiting Nurses Association, Inc.
• MH Health Care Services, PC
• Benjamin P Miers, DPT
• Cathy S Miller, M.A., CCC-SLP

• Pharmacist in Machesney Park, IL
• Providers in Machesney Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.