MEIJER PHARMACY #134
NPI 1366712168
Pharmacy - Community/Retail Pharmacy in Indianapolis, IN

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

The NPI number for Meijer Stores Limited Partnership is 1366712168. It was assigned to this organization in the NPPES registry on January 10, 2012. The provider is doing business as Meijer Pharmacy #134.

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 10, 2012CLIA 15D1008269 · Waiver

5325 E SOUTHPORT RD, INDIANAPOLIS, IN 46237(317) 859-2210(317) 859-2265 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Meijer Pharmacy #134 NPPES

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

MEIJER PHARMACY #134 (NPI 1366712168) is a healthcare organization registered as a community/retail pharmacy in Indianapolis, Indiana and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1366712168

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER STORES LIMITED PARTNERSHIP

Location Address5325 E SOUTHPORT RDIndianapolis, IN 46237-9336

Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402 · (616) 791-3169 · Fax (616) 735-8532

Phone(317) 859-2210

Fax(317) 859-2265

Organization SubpartNo

Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169

Enumeration DateJanuary 10, 2012

Last NPPES UpdateMarch 21, 2014

✔ NPI 1366712168 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 IN · 60004857

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 60004857 (IN)

5325 E SOUTHPORT RD, Indianapolis, IN 46237

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Other Names 1

Doing Business AsMeijer Pharmacy #134

Other Identifiers 3

Medicare NSC6685160058IN

Medicare PINM300060375IN

Medicaid201078780AIN

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 15D1008269

Meijer Pharmacy #134 · Indianapolis, IN

Active · expires Jan 14, 2027

CLIA Number15D1008269

Laboratory TypePharmacy

Certificate Effective DateJanuary 15, 2025

Certificate Expiration DateJanuary 14, 2027

Laboratory DirectorJacqueline Morse

Laboratory Phone(317) 859-2210

Laboratory LocationMeijer Pharmacy #1345325 E Southport Rd, Indianapolis, IN 46237

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 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.

206 services205 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.

194 services194 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.

124 services124 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

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.

13 services13 patients

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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.

MARSHA BRANSON

Pharmacist