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MEIJER PHARMACY #277
NPI 1093195596
Pharmacy - Community/Retail Pharmacy in Wauwatosa, WI

Active since June 01, 2015CLIA 52D2096928 · Waiver
11111 W BURLEIGH ST, WAUWATOSA, WI 53222(414) 290-0910(414) 256-4765 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Meijer Pharmacy #277 NPPES

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

MEIJER PHARMACY #277 (NPI 1093195596) is a healthcare organization registered as a community/retail pharmacy in Wauwatosa, Wisconsin and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1093195596
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER STORES LIMITED PARTNERSHIP
Location Address11111 W BURLEIGH STWauwatosa, WI 53222-3211
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402 · (616) 791-3169 · Fax (616) 735-8532
Phone(414) 290-0910
Fax(414) 256-4765
Organization SubpartNo
Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169
Enumeration DateJune 1, 2015
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1093195596 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
11111 W BURLEIGH ST, Wauwatosa, WI 53222
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Other Names 1

Doing Business AsMeijer Pharmacy #277

Other Identifiers 3

Medicaid100046221WI
Medicare PINK300218943WI
Medicare NSC6685160080WI

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 52D2096928

Meijer Pharmacy #277 · Wauwatosa, WI
Active · expires Jun 3, 2027
CLIA Number52D2096928
Laboratory TypePharmacy
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorJacqueline Morse
Laboratory Phone(414) 290-0910
Laboratory LocationMeijer Pharmacy #27711111 W Burleigh St, Wauwatosa, WI 53222
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 3

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.
92 services92 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.
88 services88 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.
70 services70 patients

Other Providers at the Same Location NPPES 4

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

KEVIN STARAL
Pharmacist
11111 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 290-0910
USV OPTICAL INC.
Eyewear Supplier
11111 W BURLEIGH ST
MILWAUKEE, WI 53222
Milwaukee County (414) 778-0684
MICHAEL DENTICE PHARM D.
Pharmacist (Ambulatory Care)
11111 W BURLEIGH ST
MILWAUKEE, WI 53222
Milwaukee County (414) 290-0910
PRACHI VIKAS PATEL PHARMD
Pharmacist
11111 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 290-0910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meijer Stores Limited Partnership's NPI number?

The NPI number for Meijer Stores Limited Partnership is 1093195596. It was assigned to this organization in the NPPES registry on June 1, 2015. The provider is doing business as Meijer Pharmacy #277.

Where is Meijer Stores Limited Partnership located?

Meijer Stores Limited Partnership is located at 11111 W Burleigh St, Wauwatosa, WI 53222. The listed phone number is (414) 290-0910.

What is Meijer Stores Limited Partnership's specialty?

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

Does Meijer Stores Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2096928) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Meijer Stores Limited Partnership accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Meijer Stores Limited Partnership as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meijer Stores Limited Partnership was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.