MEIJER PHARMACY # 301
NPI 1003315680
Pharmacy - Community/Retail Pharmacy in Bradley, IL

Q: What is Meijer Great Lakes Limited Partnership's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since February 08, 2018CLIA 14D2146666 · Waiver

990 N KINZIE AVE, BRADLEY, IL 60915(779) 301-8210(779) 301-8265 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2021, Feb 25, 2021, Jun 26, 2018 and 1 more (4 updates tracked since 2018).

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About Meijer Pharmacy # 301 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEIJER PHARMACY # 301 (NPI 1003315680) is a healthcare organization registered as a community/retail pharmacy in Bradley, Illinois and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Ian Nagy, Manager, Third Party Govt. Programs, as its authorized official.

NPPES Registry Identity

NPI1003315680

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER GREAT LAKES LIMITED PARTNERSHIP

Location Address990 N KINZIE AVEBradley, IL 60915

Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402

Phone(779) 301-8210

Fax(779) 301-8265

Organization SubpartNo

Authorized OfficialIan NagyManager, Third Party Govt. Programs · (616) 249-6272

Enumeration DateFebruary 8, 2018

Last NPPES UpdateSeptember 7, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2021

✔ NPI 1003315680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

990 N KINZIE AVE, Bradley, IL 60915

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Other Names 1

Doing Business AsMeijer Pharmacy # 301

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2146666

Meijer Pharmacy #301 · Bradley, IL

Active · expires Apr 3, 2028

CLIA Number14D2146666

Laboratory TypePharmacy

Certificate Effective DateApril 4, 2026

Certificate Expiration DateApril 3, 2028

Laboratory DirectorJacqueline J. Morse

Laboratory Phone(779) 301-8210

Laboratory LocationMeijer Pharmacy #301990 N Kinzie Ave, Bradley, IL 60915

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

258 services258 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

247 services247 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

213 services213 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

23 services23 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

23 services23 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA SCHLAGEL PHARM. D.

Pharmacist