MEIJER PHARMACY #173
NPI 1083764385
Pharmacy - Community/Retail Pharmacy in Ann Arbor, MI

Active since January 11, 2007CLIA Certified · 2 labs
5645 JACKSON RD, ANN ARBOR, MI 48103(734) 222-0310(734) 222-0365 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Meijer Pharmacy #173 NPPES

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

MEIJER PHARMACY #173 (NPI 1083764385) is a healthcare organization registered as a community/retail pharmacy in Ann Arbor, Michigan and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1083764385
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER INC
Location Address5645 JACKSON RDAnn Arbor, MI 48103-9504
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-9424 · (616) 791-3169 · Fax (616) 735-8532
Fax(734) 222-0365
Organization SubpartNo
Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMarch 24, 2014
NPI 1083764385 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 · 5301007328
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 5301007328 (MI)
5645 JACKSON RD, Ann Arbor, MI 48103

Other Names 1

Doing Business AsMeijer Pharmacy #173

Other Identifiers 3

Medicare PIN0N47510MI
Medicaid2362072MI
Medicare NSC0460780148MI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 23D1008370

Meijer Pharmacy #173 · Ann Arbor, MI
Active · expires Jan 20, 2027
CLIA Number23D1008370
Laboratory TypePharmacy
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorJacqueline Morse
Laboratory Phone(734) 222-0310
Laboratory LocationMeijer Pharmacy #1735645 Jackson Rd, Ann Arbor, MI 48103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D1008409

Meijer Pharmacy #64 · Ann Arbor, MI
Active · expires Jan 20, 2027
CLIA Number23D1008409
Laboratory TypePharmacy
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorJacqueline Morse
Laboratory Phone(734) 769-7941
Laboratory LocationMeijer Pharmacy #643145 Ann Arbor-Saline Road, Ann Arbor, MI 48103
CLIA data matches this NPI record on: 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 2024 & 2026 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.
361 services359 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.
337 services337 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.
249 services249 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.
20 services20 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.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Meijer Pharmacy #173 carries, from the Medicare DMEPOS supplier directory.

Meijer Pharmacy #173

DMEPOS supplier · Ann Arbor, MIOperated by Meijer Inc

Does not accept Medicare assignment

Meijer Pharmacy #173 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)20653373
Medicare Participant SinceJanuary 1, 1998
Supplier Location5645 Jackson RdAnn Arbor, MI 48103
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

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

Pharmacist
5645 JACKSON RD
ANN ARBOR, MI 48103
Pharmacist
5645 JACKSON RD
ANN ARBOR, MI 48103
Pharmacist
5645 JACKSON RD
ANN ARBOR, MI 48103
Pharmacist
5645 JACKSON RD
ANN ARBOR, MI 48103
Pharmacist
5645 JACKSON RD
ANN ARBOR, MI 48103
Pharmacist (Pharmacotherapy)
5645 JACKSON RD
ANN ARBOR, MI 48103
Pharmacist
5645 JACKSON RD
ANN ARBOR, MI 48103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083764385, enumerated as an "organization" on January 11, 2007.

The provider is located at 5645 JACKSON RD ANN ARBOR, MI 48103 and the phone number is (734) 222-0310.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.