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MEIJER INC NPI 1609925015


NPI Information

NPI: 1609925015
Provider Name: MEIJER INC

Doing Business As: MEIJER PHARMACY #119

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D1008382

Address:
6660 W MAIN ST
KALAMAZOO, MI
ZIP 49009
Phone: (269) 372-9110
Get Directions

MEIJER INC is a community/retail pharmacy pharmacy in Kalamazoo, 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 1609925015. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #119.

The provider's business location address is:

6660 W MAIN ST
KALAMAZOO, MI
ZIP 49009-962
Phone: (269) 372-9110
Fax: (269) 372-9165

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 23D1008382 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 3/19/2014.


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 Supplies5301005890MICHIGANNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301005890MICHIGANYes

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
10460780039MEDICARE NSCMICHIGAN
22351524MEDICAIDMICHIGAN
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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