MEIJER PHARMACY #107
NPI 1265597041
Pharmacy - Community/Retail Pharmacy in Fairborn, OH

Active since December 22, 2006CLIA 36D0987602 · Waiver
3822 COLONEL GLENN HWY, FAIRBORN, OH 45324(937) 427-6110(937) 427-6165 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Meijer Pharmacy #107 NPPES

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

MEIJER PHARMACY #107 (NPI 1265597041) is a healthcare organization registered as a community/retail pharmacy in Fairborn, Ohio and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1265597041
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER STORES LIMITED PARTNERSHIP
Location Address3822 COLONEL GLENN HWYFairborn, OH 45324-9091
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-9424 · (616) 791-3169 · Fax (616) 735-8532
Fax(937) 427-6165
Organization SubpartNo
Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169
Enumeration DateDecember 22, 2006
Last NPPES UpdateMarch 17, 2014
NPI 1265597041 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 OH · 02687850
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 02687850 (MI)
3822 COLONEL GLENN HWY, Fairborn, OH 45324

Other Names 1

Doing Business AsMeijer Pharmacy #107

Other Identifiers 3

Medicaid0869323OH
Medicare PINH191610
Medicare NSC6685160042OH

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 36D0987602

Meijer Pharmacy #107 · Fairborn, OH
Active · expires Jun 7, 2027
CLIA Number36D0987602
Laboratory TypePharmacy
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorJacqueline Morse
Laboratory Phone(937) 426-3600
Laboratory LocationMeijer Pharmacy #1073822 Colonel Glenn Hwy, Fairborn, OH 45324
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.
59 services59 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.
56 services56 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.
41 services41 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.

Pharmacist
3822 COLONEL GLENN HWY
FAIRBORN, OH 45324
Pharmacist
3822 COLONEL GLENN HWY
FAIRBORN, OH 45324
Pharmacist
3822 COLONEL GLENN HWY
FAIRBORN, OH 45324
Pharmacist
3822 COLONEL GLENN HWY
FAIRBORN, OH 45324

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 1265597041. It was assigned to this organization in the NPPES registry on December 22, 2006. The provider is doing business as Meijer Pharmacy #107.

Where is Meijer Stores Limited Partnership located?

Meijer Stores Limited Partnership is located at 3822 Colonel Glenn Hwy, Fairborn, OH 45324. The listed phone number is (937) 427-6110.

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 36D0987602) is associated with this NPI, valid through June 7, 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 49 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 March 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.