Meijer Stores Limited Partnership

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02176600 Issued in OH

Legal business name

MEIJER STORES LIMITED PARTNERSHIP

Doing business as

Meijer Pharmacy #049

Practice address

1155 N 21St St
Newark, OH 43055-3016

Phone

(740) 366-2311

Fax

(740) 366-8465

NPI assigned

Feb 7, 2007

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin R. Hurn, RPH

Title

Director, Pharmacy Administration

Phone

(616) 791-5185

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Meijer Pharmacy #049 Doing business as

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1598805053",
    "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": "616-791-3346",
            "fax_number": "616-735-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553016",
            "telephone_number": "740-366-2311",
            "fax_number": "740-366-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIJER STORES LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "HURN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR, PHARMACY ADMINISTRATION",
        "authorized_official_telephone_number": "616-791-5185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "0217660",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02176600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meijer Pharmacy #049",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia Christina Meckley, RN
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• Meghan Janet Meerschaert, PA-C
• Laquayla Lavonne Megginson
• Tabatha L. Menapace, CRNA
• Teresa Menapace, PTA
• Helen Mengstu, RDH
• Mental Health Association of Licking County Inc. (Mental Health America of Licking County)
• Meritas Health LLC

• Community/Retail Pharmacy in Newark, OH
• Providers in Newark, 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 Feb 21, 2013; 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.