Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Meijer Great Lakes Limited Partnership

Organization Durable Medical Equipment & Medical Supplies · NPI 1912277708

Meijer Great Lakes Limited Partnership is a Durable Medical Equipment & Medical Supplies in St Charles, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

855 S Randall Rd
St Charles, IL 60174-1570
Phone: (630) 762-7210
Fax: (630) 762-7265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054014352 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 054014352 (IL)

Record details

NPI number1912277708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Beauch — Director Of Pharmacy Managed Care · (616) 791-3169
Other names Meijer Pharmacy #182; Meijer Pharmacy #182
NPI enumeratedJanuary 10, 2012
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021
Mailing address2929 Walker Ave Nw, Grand Rapids, MI 49544-6402

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