Meijer Great Lakes Limited Partnership
NPI 1417398082 · Community/Retail Pharmacy · Evergreen Park, IL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Meijer Great Lakes Limited Partnership is a Community/Retail Pharmacy organization in Evergreen Park, IL (NPI 1417398082).
Provider details
- NPI number
- 1417398082
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jason Beauch, Director of Pharmacy Managed Care(616) 791-3169
- License
- 054018283 (IL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 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
203 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 | 110 | $44 |
| Administration of Influenza Virus VaccineG0008 | 93 | $34 |
Typical Medicare-allowed amounts for these services range $34–$44 (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 #265
- Doing business as
- Meijer Pharmacy #265
Registry dates
- Enumerated
- 2013-07-11
- Last updated
- 2021-02-25
- Certified
- 2021-02-25
Frequently asked questions
- What is Meijer Great Lakes Limited Partnership's NPI number?
- Meijer Great Lakes Limited Partnership's National Provider Identifier (NPI) is 1417398082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Meijer Great Lakes Limited Partnership?
- Meijer Great Lakes Limited Partnership is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Meijer Great Lakes Limited Partnership located?
- Meijer Great Lakes Limited Partnership's practice location on file with NPPES is 9200 S Western Ave, Evergreen Park, IL 60805-2500.
- What is Meijer Great Lakes Limited Partnership's phone number?
- The practice phone number listed in the NPPES registry for Meijer Great Lakes Limited Partnership is (708) 499-8110.
- Does Meijer Great Lakes Limited Partnership accept Medicare?
- Meijer Great Lakes 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 Great Lakes Limited Partnership?
- The authorized official listed on Meijer Great Lakes 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 Great Lakes Limited Partnership's NPI active?
- Yes — Meijer Great Lakes Limited Partnership's NPI (1417398082) is active in the NPPES registry as of the last update on 2021-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.