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MEIJER INC NPI 1639233638


NPI Information

NPI: 1639233638
Provider Name: MEIJER INC

Doing Business As: MEIJER PHARMACY #216

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D1038202

Address:
315 WILSON AVE NW
GRAND RAPIDS, MI
ZIP 49534
Phone: (616) 735-2110
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MEIJER INC is a community/retail pharmacy pharmacy in Grand Rapids, 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 1639233638. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #216.

The provider's business location address is:

315 WILSON AVE NW
GRAND RAPIDS, MI
ZIP 49534-554
Phone: (616) 735-2110
Fax: (616) 735-2165

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 23D1038202 - 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 3/24/2014.


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 Supplies5301008099MICHIGANNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301008099MICHIGANYes

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
12367058MEDICAIDMICHIGAN
20460780170MEDICARE 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: 11/14/2023

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