NPIMap

Organization Active NPI

Meijer 155

  • Pharmacist
  • Richmond, IN
National Provider Identifier
1811021629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26020092A Issued in IN
Legal business name
MEIJER 155
Practice address
2507 Chester Blvd
Richmond, IN 47374-1105
Phone
(765) 939-4433
Fax
(765) 939-4465
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dan Huffman, RPH
Title
Pharmacist in Charge
Phone
(765) 939-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 26020092A IN Primary

Addresses

Primary practice location

2507 Chester Blvd
Richmond, IN 47374-1105

Mailing address

2507 Chester Blvd
Richmond, IN 47374-1105
Phone (765) 939-4433

National Provider Directory

National Provider Directory
Tax ID family
Meijer127 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811021629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741105",
            "telephone_number": "765-939-4433",
            "fax_number": "765-939-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741105",
            "telephone_number": "765-939-4433",
            "fax_number": "765-939-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIJER 155",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "765-939-4433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26020092A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.