MEIJER, INC
NPI 1356065858
Pharmacy - Community/Retail Pharmacy in Lake Orion, MI

Q: What is Meijer, Inc's NPI number?

The NPI number for Meijer, Inc is 1356065858. It was assigned to this organization in the NPPES registry on September 28, 2022. The provider is doing business as Meijer Pharmacy #680.

Q: What is Meijer, Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Meijer, Inc was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 28, 2022CLIA 23D2267714 · Waiver

1107 S. LAPEER ROAD, LAKE ORION, MI 48360(248) 287-7950(248) 287-7955 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Meijer, Inc NPPES

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

MEIJER, INC (NPI 1356065858), doing business as Meijer Pharmacy #680, is a healthcare organization registered as a community/retail pharmacy in Lake Orion, Michigan and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through August 29, 2028 and lists Joseph Back, Director Managed Care, as its authorized official.

NPPES Registry Identity

NPI1356065858

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER, INC

Location Address1107 S. LAPEER ROADLake Orion, MI 48360

Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402 · (616) 791-3485 · Fax (616) 735-8532

Phone(248) 287-7950

Fax(248) 287-7955

Organization SubpartNo

Authorized OfficialJoseph BackDirector Managed Care · (616) 402-4484

Enumeration DateSeptember 28, 2022

NPPES CertifiedSeptember 27, 2022

✔ NPI 1356065858 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

1107 S. LAPEER ROAD, Lake Orion, MI 48360

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Other Names 1

Doing Business AsMeijer Pharmacy #680

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meijer, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMichiganEnrollment IDO20071022000424Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 23D2267714

Meijer Pharmacy #680 · Lake Orion, MI

Active · expires Aug 29, 2028

CLIA Number23D2267714

Laboratory TypePharmacy

Certificate Effective DateAugust 30, 2026

Certificate Expiration DateAugust 29, 2028

Laboratory DirectorJacqueline A. Morse

Laboratory Phone(248) 287-7950

Laboratory LocationMeijer Pharmacy #6801107 S Lapeer Road, Lake Orion, MI 48360

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 1356065858. It was assigned to this organization in the NPPES registry on September 28, 2022. The provider is doing business as Meijer Pharmacy #680.

Where is Meijer, Inc located?

Meijer, Inc is located at 1107 S. Lapeer Road, Lake Orion, MI 48360. The listed phone number is (248) 287-7950.

What is Meijer, Inc's specialty?

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

Is Meijer, Inc enrolled in Medicare?

Yes. Meijer, Inc is registered in the Medicare PECOS enrollment system.

When is Meijer, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Mass Immunization (Roster Biller Only)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Meijer, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2267714) is associated with this NPI, valid through August 29, 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 Arkansas Health & Wellness and 48 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 September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.