Meijer Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009338 Issued in MI

Legal business name

MEIJER INC

Doing business as

Meijer Pharmacy #260

Practice address

3610 Marketplace Cir
Rochester Hills, MI 48309-5515

Phone

(248) 844-2810

Fax

(248) 844-2865

NPI assigned

Apr 23, 2010

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 #260 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jusilda Bita

  • Pharmacist
  • Rochester Hills, MI
  • NPI 1548740335
  NPD (past)
• Gerald Druzinski

  • Pharmacotherapy Pharmacist
  • Rochester Hills, MI
  • NPI 1417367830
  NPD (past)
• Nicole Waring

  • Pharmacotherapy Pharmacist
  • Rochester Hills, MI
  • NPI 1831827377
  NPD (past)

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1619294105",
    "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": "495446402",
            "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": "3610 MARKETPLACE CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483095515",
            "telephone_number": "248-844-2810",
            "fax_number": "248-844-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIJER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2014-03-25",
        "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": "MI",
            "license": "5301009338",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2373924",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meijer Pharmacy #260",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alejandra Isabel Medina, MA, LPC, NCC
• Medox Inc.
• Steven Patrick Meerschaert, LPC
• Muhiba Mehmedovic
• Meijer Inc
• Meijer, Inc.
• Lisa A Meils, M.D.
• Katrina Lynn Meinhard, PT
• Ellen M Melcher, CNP
• Robert Vito Mele

• Community/Retail Pharmacy in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.