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MEIJER PHARMACY #269
NPI 1134556277
Pharmacy - Community/Retail Pharmacy in Danville, IL

Active since October 03, 2013CLIA 14D2066267 · Waiver
3649 N. VERMILION ST., DANVILLE, IL 61832(217) 655-7210(217) 655-7265 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Meijer Pharmacy #269 NPPES

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

MEIJER PHARMACY #269 (NPI 1134556277) is a healthcare organization registered as a community/retail pharmacy in Danville, Illinois and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1134556277
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER GREAT LAKES LIMITED PARTNERSHIP
Location Address3649 N. VERMILION ST.Danville, IL 61832-1312
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402 · (616) 791-3169 · Fax (616) 735-8532
Phone(217) 655-7210
Fax(217) 655-7265
Organization SubpartNo
Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169
Enumeration DateOctober 3, 2013
Last NPPES UpdateMarch 25, 2014
✔ NPI 1134556277 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 IL · 054018334
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 054018334 (IL)
3649 N. VERMILION ST., Danville, IL 61832
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Other Names 1

Doing Business AsMeijer Pharmacy #269

Other Identifiers 4

Medicaid201204100AIL
Medicare PINIL7525IL
Medicaid=========021IL
Medicare NSC6507510030IL

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 14D2066267

Meijer Pharmacy #269 (dba) Meijer Great Lakes Limited Partnership · Danville, IL
Active · expires Sep 23, 2027
CLIA Number14D2066267
Laboratory TypePharmacy
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorJacqueline Morse
Laboratory Phone(217) 655-7210
Laboratory LocationMeijer Pharmacy #269 (dba) Meijer Great Lakes Limited Partnership3649 N Vermillion St, Danville, IL 61832
CLIA data matches this NPI record on: 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.
233 services230 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.
210 services210 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.
163 services163 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.
19 services19 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.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Meijer Pharmacy #269 carries, from the Medicare DMEPOS supplier directory.

Meijer Pharmacy #269

DMEPOS supplier · Danville, ILOperated by Meijer Great Lakes Limited Partnership
⋮

Does not accept Medicare assignment

Meijer Pharmacy #269 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)20312795
Medicare Participant SinceJanuary 1, 2023
Supplier Location3649 N Vermillion StDanville, IL 61832
Phone(217) 655-7210
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.

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 Great Lakes Limited Partnership's NPI number?

The NPI number for Meijer Great Lakes Limited Partnership is 1134556277. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as Meijer Pharmacy #269.

Where is Meijer Great Lakes Limited Partnership located?

Meijer Great Lakes Limited Partnership is located at 3649 N. Vermilion St., Danville, IL 61832. The listed phone number is (217) 655-7210.

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.

Does Meijer Great Lakes Limited Partnership accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Meijer Pharmacy #269 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Meijer Great Lakes Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2066267) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Meijer Great Lakes 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 49 other insurers list Meijer Great Lakes 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 Great Lakes Limited Partnership was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.