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Export Provider Record NPI 1225669641
Meijer Great Lakes Limited Partnership
Organization Subpart: NO
Active
NPI Number1225669641
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1225669641
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2020-02-04
Last Updated2021-02-25
Authorized OfficialRaymond Burzynski
Director of Managed Care
Phone: 6162496583
Mailing Address2929 Walker Ave Nw
Grand Rapids, MI 49544-6402
United States
Phone: (616) 791-3485
📍 View Map
Primary Practice Address541 Puri Pkwy
Sycamore, IL 60178-9029
United States
Phone: (815) 991-1210 | Fax: (815) 991-1232
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
Yes3336C0003X – Pharmacy, Community/Retail Pharmacy--
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About NPI 1225669641

Meijer Great Lakes Limited Partnership is an organization registered in the CMS NPPES NPI Registry with NPI number 1225669641. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Sycamore, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-02-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1225669641?

NPI 1225669641 belongs to Meijer Great Lakes Limited Partnership, a Pharmacy, Community/Retail Pharmacy in Sycamore, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1225669641 active?

The current status of NPI 1225669641 in the NPPES registry is Active. The record was last updated on 2021-02-25.

What specialty is NPI 1225669641?

NPI 1225669641 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1225669641?

You can verify NPI 1225669641 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1225669641?

The primary practice address on file for NPI 1225669641 is 541 Puri Pkwy, Sycamore, IL 60178-9029. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1225669641 issued?

NPI 1225669641 was first issued (enumerated) on 2020-02-04. The NPPES record was last updated on 2021-02-25.

Practice Location Map

Meijer Great Lakes Limited Partnership is located at 541 Puri Pkwy, Sycamore, IL. Use the map below to find directions or verify the practice location.

📍 541 Puri Pkwy, Sycamore, IL 60178-9029  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Meijer Great Lakes Limited Partnership. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162