Active NPI
Meijer Stores Limited Partnership
Doing business as Meijer Pharmacy #464
- Community/Retail Pharmacy
- Belleville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MEIJER STORES LIMITED PARTNERSHIP
- Doing business as
- Meijer Pharmacy #464
- Practice address
- 41255 Coca Cola Dr.
Belleville, MI 48111 - Phone
- (260) 797-7274
- NPI assigned
- Jun 7, 2016
- Last updated
- Mar 28, 2017
- 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
- VP of Pharmacy Merchandising
- Phone
- (616) 791-3169
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
41255 Coca Cola Dr.
Belleville, MI 48111
Mailing address
2929 Walker Ave NW
Grand Rapids, MI 49544-6402
Phone (616) 791-5274
Other names 1
- Meijer Pharmacy #464
National Provider Directory
National Provider Directory- Tax ID family
- Meijer Stores Partnership
Locations
41255 Coca Cola Dr
Belleville, MI 48111
Phone (260) 797-7274
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Grand Rapids, MI
- NPI 1518380062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490659200000",
"number": "1831548122",
"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": "616-791-5274",
"fax_number": "616-735-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41255 COCA COLA DR.",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "48111",
"telephone_number": "260-797-7274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEIJER STORES LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-07",
"last_updated": "2017-03-28",
"status": "A",
"authorized_official_last_name": "BEAUCH",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "VP OF PHARMACY MERCHANDISING",
"authorized_official_telephone_number": "616-791-3169",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meijer Pharmacy #464",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.