MEIJER PHARMACY #298
NPI 1215472089
Pharmacy - Community/Retail Pharmacy in Green Bay, WI

Q: What is Meijer Stores Limited Partnership's NPI number?

The NPI number for Meijer Stores Limited Partnership is 1215472089. It was assigned to this organization in the NPPES registry on January 3, 2017. The provider is doing business as Meijer Pharmacy #298.

Q: 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.

Active since January 03, 2017CLIA 52D2126971 · Waiver

2015 SHAWANO AVE, GREEN BAY, WI 54303(920) 496-8110(920) 496-8165 Get Directions Write a Review

NPPES record last updated: June 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2017, Mar 28, 2017, Jan 3, 2017 (3 updates tracked since 2017).

On this page

About Meijer Pharmacy #298 NPPES

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

MEIJER PHARMACY #298 (NPI 1215472089) is a healthcare organization registered as a community/retail pharmacy in Green Bay, Wisconsin and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Jason Beauch, Vp Of Pharmacy Merchandising, as its authorized official.

NPPES Registry Identity

NPI1215472089

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER STORES LIMITED PARTNERSHIP

Location Address2015 SHAWANO AVEGreen Bay, WI 54303-2606

Mailing Address2929 Walker Ave Nw, Attn: Managed Care Government ProgramsGrand Rapids, MI 49544-6402 · (616) 791-3169

Phone(920) 496-8110

Fax(920) 496-8165

Organization SubpartNo

Authorized OfficialJason BeauchVp Of Pharmacy Merchandising · (616) 791-3169

Enumeration DateJanuary 3, 2017

Last NPPES UpdateJune 2, 20173 updates tracked since enumeration

✔ NPI 1215472089 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

2015 SHAWANO AVE, Green Bay, WI 54303

Open in Google Maps ↗

Other Names 1

Doing Business AsMeijer Pharmacy #298

Other Identifiers 2

Medicaid1215472089MI

Medicaid100065871WI

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 52D2126971

Meijer Pharmacy #298 · Howard, WI

Active · expires Mar 7, 2027

CLIA Number52D2126971

Laboratory TypePharmacy

Certificate Effective DateMarch 8, 2025

Certificate Expiration DateMarch 7, 2027

Laboratory DirectorJacqueline Morse

Laboratory Phone(920) 496-8110

Laboratory LocationMeijer Pharmacy #2982015 Shawano Avenue, Howard, WI 54313

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 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.

261 services259 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.

245 services245 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

Other Providers at the Same Location NPPES 5

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

FRINWEI ZITA TAMINANG APNP

Nurse Practitioner (Family)