MEIJER PHARMACY #054
NPI 1043350523
Pharmacy - Community/Retail Pharmacy in Northville, MI

Q: What is Meijer Inc's NPI number?

The NPI number for Meijer Inc is 1043350523. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Meijer Pharmacy #054.

Q: What is Meijer Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Meijer Inc was last updated on March 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 07, 2007CLIA 23D1008439 · Waiver

20401 HAGGERTY RD, NORTHVILLE, MI 48167(248) 449-5710(248) 449-5765 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Meijer Pharmacy #054 NPPES

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

MEIJER PHARMACY #054 (NPI 1043350523) is a healthcare organization registered as a community/retail pharmacy in Northville, Michigan and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1043350523

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER INC

Location Address20401 HAGGERTY RDNorthville, MI 48167-1999

Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-9424 · (616) 791-3169 · Fax (616) 735-8532

Phone(248) 449-5710

Fax(248) 449-5765

Organization SubpartNo

Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169

Enumeration DateFebruary 7, 2007

Last NPPES UpdateMarch 17, 2014

✔ NPI 1043350523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MI · 5301004186

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 · License 5301004186 (MI)

20401 HAGGERTY RD, Northville, MI 48167

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Other Names 1

Doing Business AsMeijer Pharmacy #054

Other Identifiers 3

Medicaid2338881MI

Medicare PIN0N47510MI

Medicare ID-Type Unspecified0460780017MI

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 23D1008439

Meijer Pharmacy #54 · Northville, MI

Active · expires Jan 20, 2027

CLIA Number23D1008439

Laboratory TypePharmacy

Certificate Effective DateJanuary 21, 2025

Certificate Expiration DateJanuary 20, 2027

Laboratory DirectorJacqueline Morse

Laboratory Phone(248) 349-2707

Laboratory LocationMeijer Pharmacy #5420401 Haggerty Rd, Northville, MI 48167

CLIA data matches this NPI record on: Address Name

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.

354 services352 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.

331 services331 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.

254 services254 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.

35 services35 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.

34 services34 patients

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Meiger Pharmacy #054 carries, from the Medicare DMEPOS supplier directory.

Meiger Pharmacy #054

DMEPOS supplier · Northville, MIOperated by Meijer Inc

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Does not accept Medicare assignment

Meiger Pharmacy #054 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20656763

Medicare Participant SinceJanuary 1, 1998

Supplier Location20401 Haggerty RdNorthville, MI 48167

Phone(248) 449-5710

Supplier Specialties

Pharmacy Department Store Grocery Store

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 9

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

MOHAMED AYOUB

Pharmacist