MEIJER PHARMACY #254
NPI 1114428729
Pharmacy - Community/Retail Pharmacy in Hudsonville, MI

Active since February 28, 2018CLIA 23D2146230 · Waiver
4075 32ND AVE, HUDSONVILLE, MI 49426(616) 229-9310(616) 229-9365 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2018, Feb 28, 2018 (2 updates tracked since 2018).

About Meijer Pharmacy #254 NPPES

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

MEIJER PHARMACY #254 (NPI 1114428729) is a healthcare organization registered as a community/retail pharmacy in Hudsonville, Michigan and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Jason Beauch, Vice President Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1114428729
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER, INC.
Location Address4075 32ND AVEHudsonville, MI 49426
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402
Fax(616) 229-9365
Organization SubpartNo
Authorized OfficialJason BeauchVice President Of Pharmacy · (616) 791-5032
Enumeration DateFebruary 28, 2018
Last NPPES UpdateJuly 13, 20182 updates tracked since enumeration
NPI 1114428729 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
4075 32ND AVE, Hudsonville, MI 49426

Other Names 1

Doing Business AsMeijer Pharmacy #254

Other Identifiers 1

Medicaid1114428729MI

Accepted 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 23D2146230

Meijer Pharmacy #254 · Hudsonville, MI
Active · expires Mar 25, 2028
CLIA Number23D2146230
Laboratory TypePharmacy
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorJacqueline J. Morse
Laboratory Phone(616) 229-9410
Laboratory LocationMeijer Pharmacy #2544075 32nd Avenue, Hudsonville, MI 49426
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 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.
100 services100 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.
92 services92 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.
52 services52 patients

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
4075 32ND AVE
HUDSONVILLE, MI 49426
Family Medicine
4075 32ND AVE
HUDSONVILLE, MI 49426
Family Medicine
4075 32ND AVE
HUDSONVILLE, MI 49426

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, Inc.'s NPI number?

The NPI number for Meijer, Inc. is 1114428729. It was assigned to this organization in the NPPES registry on February 28, 2018. The provider is doing business as Meijer Pharmacy #254.

Where is Meijer, Inc. located?

Meijer, Inc. is located at 4075 32nd Ave, Hudsonville, MI 49426. The listed phone number is (616) 229-9310.

What is Meijer, Inc.'s specialty?

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

Does Meijer, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2146230) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Meijer, Inc. 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, Inc. 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, Inc. was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.