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MEIJER PHARMACY #313
NPI 1225669641
Pharmacy - Community/Retail Pharmacy in Sycamore, IL

Active since February 04, 2020CLIA 14D2177242 · Waiver
541 PURI PKWY, SYCAMORE, IL 60178(815) 991-1210(815) 991-1232 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2021, Jul 9, 2020, Feb 4, 2020 (3 updates tracked since 2020).

About Meijer Pharmacy #313 NPPES

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

MEIJER PHARMACY #313 (NPI 1225669641) is a healthcare organization registered as a community/retail pharmacy in Sycamore, Illinois and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Raymond Burzynski, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1225669641
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER GREAT LAKES LIMITED PARTNERSHIP
Location Address541 PURI PKWYSycamore, IL 60178-9029
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402 · (616) 791-3485
Phone(815) 991-1210
Fax(815) 991-1232
Organization SubpartNo
Authorized OfficialRaymond BurzynskiDirector Of Managed Care · (616) 249-6583
Enumeration DateFebruary 4, 2020
Last NPPES UpdateFebruary 25, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1225669641 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
541 PURI PKWY, Sycamore, IL 60178
Open in Google Maps ↗

Other Names 1

Doing Business AsMeijer Pharmacy #313

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 14D2177242

Meijer Pharmacy #313 · Sycamore, IL
Active · expires Jan 6, 2028
CLIA Number14D2177242
Laboratory TypePharmacy
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorJacqueline J. Morse
Laboratory Phone(815) 991-1210
Laboratory LocationMeijer Pharmacy #313541 Puri Parkway, Sycamore, IL 60178
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 4

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.
222 services220 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.
208 services208 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.
97 services97 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.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Meijer Pharmacy #313 carries, from the Medicare DMEPOS supplier directory.

Meijer Pharmacy #313

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

Does not accept Medicare assignment

Meijer Pharmacy #313 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)20311721
Medicare Participant SinceJanuary 1, 2023
Supplier Location541 Puri PkwySycamore, IL 60178
Phone(815) 991-1210
Supplier Specialties
Pharmacy

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 4

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

KATHRYN STILTNER PHARMD
Pharmacist
541 PURI PKWY
SYCAMORE, IL 60178
Dekalb County (815) 991-1210
MICHAEL CARLSON PHARMD
Pharmacist
541 PURI PKWY
SYCAMORE, IL 60178
Dekalb County (815) 991-1232
JACQUE WYFFELS PHARMD
Pharmacist
541 PURI PKWY
SYCAMORE, IL 60178
Dekalb County (815) 991-1210
JENNA NOELLE HUGHES
Pharmacist
541 PURI PKWY
SYCAMORE, IL 60178
Dekalb County (815) 991-1210

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 1225669641. It was assigned to this organization in the NPPES registry on February 4, 2020. The provider is doing business as Meijer Pharmacy #313.

Where is Meijer Great Lakes Limited Partnership located?

Meijer Great Lakes Limited Partnership is located at 541 Puri Pkwy, Sycamore, IL 60178. The listed phone number is (815) 991-1210.

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 #313 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 14D2177242) is associated with this NPI, valid through January 6, 2028. 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 February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.