OrganizationActiveAccepts Medicare
Meijer Stores Limited Partnership
NPI 1942015714 · Community/Retail Pharmacy · Medina, OH
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1942015714
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Krystal Sheerer, Director of Managed Care(616) 791-3485
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
1105 N Court St
Medina, OH 44256-1521
Phone: (330) 952-9610
Fax: (330) 952-9615
Street-level locationGet directions
Mailing address
2929 Walker Ave Nw
Grand Rapids, MI 49544-9428
Other names (DBA / former)
- Doing business as
- Meijer Pharmacy #335
- Doing business as
- Meijer Pharmacy #335
Registry dates
- Enumerated
- 2025-02-10
- Last updated
- 2025-06-15
- Certified
- 2025-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.