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MEIJER INC NPI 1396809596


NPI Information

NPI: 1396809596
Provider Name: MEIJER INC

Doing Business As: MEIJER PHARMACY #140

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D1008378

Address:
1555 DEMILLE RD
LAPEER, MI
ZIP 48446
Phone: (810) 667-8110
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MEIJER INC is a community/retail pharmacy pharmacy in Lapeer, 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 1396809596. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #140.

The provider's business location address is:

1555 DEMILLE RD
LAPEER, MI
ZIP 48446-149
Phone: (810) 667-8110
Fax: (810) 667-8165

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 23D1008378 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 3/21/2014.


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 Supplies5301006289MICHIGANNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301006289MICHIGANYes

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
12354378MEDICAIDMICHIGAN
20460780099MEDICARE NSCMICHIGAN
30N47510MEDICARE PINMICHIGAN

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: 4/28/2024

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