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Meijer Great Lakes Limited Partnership

Community/Retail Pharmacy in Bradley, IL · enumerated 2018 · authorized official Ian Nagy, Manager, Third Party Govt. Programs.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003315680

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Registry record

Entity type Organization (Type 2)
Legal business name Meijer Great Lakes Limited Partnership
Other name <Unavail>
Practice address 990 N Kinzie Ave, Bradley, IL, 60915
Phone (779) 301-8210
Fax (779) 301-8265
Enumeration date Feb 8, 2018
Last updated in NPPES Sep 7, 2021

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Ian Nagy
Title Manager, Third Party Govt. Programs
Phone (616) 249-6272

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Meijer Great Lakes Limited Partnership located?
The practice location on file with NPPES is in Bradley, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-09-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-07.