Active NPI
Meijer Stores Limited Partnership
- Community/Retail Pharmacy
- West Chester, OH
National Provider Identifier
1821147901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 02907300
- Legal business name
- MEIJER STORES LIMITED PARTNERSHIP
- Practice address
- 7390 Tylersville Rd
West Chester, OH 45069-1522 - Phone
- (513) 755-4810
- Fax
- (513) 755-4865
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Beauch, R.PH
- Title
- Director of Pharmacy Managed Care
- Phone
- (616) 791-3169
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 02907300 | OH | |
| Community/Retail Pharmacy | 3336C0003X | 02907300 | OH | Primary |
Addresses
Primary practice location
7390 Tylersville Rd
West Chester, OH 45069-1522
Mailing address
2929 Walker Ave NW
Grand Rapids, MI 49544-9424
Phone (616) 791-3169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0240206 | Medicaid | OH |
Other names 1
- Meijer Pharmacy #147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120626000465 | OH | DME Supplier - Pharmacy | 2062688971 |
1 other NPI on this enrollment Practice locations: West Chester, OH |
| O20130605000647 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 2062688971 | This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0985547 | Meijer Pharmacy #147 | Certificate of waiver | Apr 22, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Meijer Pharmacy # 147 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Meijer Stores LP
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Rossford, OH
- NPI 1629133566
-
- Community/Retail Pharmacy
- Oregon, OH
- NPI 1659420057
-
- Community/Retail Pharmacy
- Franklin, OH
- NPI 1659435121
-
- Community/Retail Pharmacy
- Lancaster, OH
- NPI 1659468809
-
- Community/Retail Pharmacy
- North Canton, OH
- NPI 1669234878
-
- Community/Retail Pharmacy
- Columbus, OH
- NPI 1689723082
-
- Community/Retail Pharmacy
- Kettering, OH
- NPI 1699830455
-
- Community/Retail Pharmacy
- Avon, OH
- NPI 1750845889
-
- Community/Retail Pharmacy
- Milford, OH
- NPI 1760531362
-
- Community/Retail Pharmacy
- Dayton, OH
- NPI 1760547525
-
- Community/Retail Pharmacy
- Hamilton, OH
- NPI 1801950290
-
- Pharmacy
- Brunswick, OH
- NPI 1811648660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395360000000",
"number": "1821147901",
"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": "7390 TYLERSVILLE RD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450691522",
"telephone_number": "513-755-4810",
"fax_number": "513-755-4865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEIJER STORES LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2014-03-21",
"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": "R.PH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": "02907300",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": "02907300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0240206",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meijer Pharmacy #147",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.