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MEIJER INC NPI 1316093784


NPI Information

NPI: 1316093784
Provider Name: MEIJER INC

Doing Business As: MEIJER PHARMACY #203

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D1008642

Address:
15400 WALDRON WAY
BIG RAPIDS, MI
ZIP 49307
Phone: (231) 527-0210
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MEIJER INC is a community/retail pharmacy pharmacy in Big 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 1316093784. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #203.

The provider's business location address is:

15400 WALDRON WAY
BIG RAPIDS, MI
ZIP 49307-890
Phone: (231) 527-0210
Fax: (231) 527-0265

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 23D1008642 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies5301007377MICHIGANNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301007377MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12362173MEDICAIDMICHIGAN
20460780152MEDICARE 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: 5/5/2024

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