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MEIJER INC NPI 1114066008


NPI Information

NPI: 1114066008
Provider Name: MEIJER INC

Doing Business As: MEIJER PHARMACY #027

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D1008654

Address:
3825 CARPENTER RD
YPSILANTI, MI
ZIP 48197
Phone: (734) 677-7110
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MEIJER INC is a community/retail pharmacy pharmacy in Ypsilanti, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MEIJER INC NPI is 1114066008. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #027.

The provider's business location address is:

3825 CARPENTER RD
YPSILANTI, MI
ZIP 48197-606
Phone: (734) 677-7110
Fax: (734) 677-7165

The provider's authorized official is Jason Beauch .
The authorized official title is Director Of Pharmacy Managed Care and has the following contact phone number (616) 791-3169.

The CLIA number assigned to this NPI record is 23D1008654 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 3/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies5301002860MICHIGANNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301002860MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12305387MEDICAIDMICHIGAN
20N47510MEDICARE PINMICHIGAN
30460780064MEDICARE NSCMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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