Meijer Stores Limited Partnership
NPI 1104196906 · Community/Retail Pharmacy · Goshen, IN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Meijer Stores Limited Partnership is a Community/Retail Pharmacy organization in Goshen, IN (NPI 1104196906).
Provider details
- NPI number
- 1104196906
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jason Beauch, Director of Pharmacy Managed Care(616) 791-3169
- License
- 60004473 (IN)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
725 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Admn Sarscov2 Vacc 1 Dose90480 | 360 | $38 |
| Administration of Influenza Virus VaccineG0008 | 347 | $30 |
| Administration of Pneumococcal VaccineG0009 | 18 | $30 |
Typical Medicare-allowed amounts for these services range $30–$38 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Meijer Pharmacy #127
Registry dates
- Enumerated
- 2012-01-10
- Last updated
- 2014-03-21
Frequently asked questions
- What is Meijer Stores Limited Partnership's NPI number?
- Meijer Stores Limited Partnership's National Provider Identifier (NPI) is 1104196906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Meijer Stores Limited Partnership?
- Meijer Stores Limited Partnership is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Meijer Stores Limited Partnership located?
- Meijer Stores Limited Partnership's practice location on file with NPPES is 4522 Elkhart Rd, Goshen, IN 46526-5822.
- What is Meijer Stores Limited Partnership's phone number?
- The practice phone number listed in the NPPES registry for Meijer Stores Limited Partnership is (574) 875-3010.
- Does Meijer Stores Limited Partnership accept Medicare?
- Meijer Stores Limited Partnership is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Meijer Stores Limited Partnership?
- The authorized official listed on Meijer Stores Limited Partnership's NPPES record is Jason Beauch, Director of Pharmacy Managed Care. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Meijer Stores Limited Partnership's NPI active?
- Yes — Meijer Stores Limited Partnership's NPI (1104196906) is active in the NPPES registry as of the last update on 2014-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.