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MEIJER PHARMACY #465
NPI 1447635388
Pharmacy - Community/Retail Pharmacy in Grand Rapids, MI

Active since July 21, 2015CLIA 23D2100572 · Waiver
100 MICHIGAN ST NE, STE. 1830, GRAND RAPIDS, MI 49503(616) 249-6210(616) 249-6465 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 17, 2015, Oct 1, 2015 (2 updates tracked since 2015).

About Meijer Pharmacy #465 NPPES

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

MEIJER PHARMACY #465 (NPI 1447635388) is a healthcare organization registered as a community/retail pharmacy in Grand Rapids, Michigan and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1447635388
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER, INC.
Location Address100 MICHIGAN ST NE, STE. 1830Grand Rapids, MI 49503-2560
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402 · (616) 791-3169 · Fax (616) 735-8532
Phone(616) 249-6210
Fax(616) 249-6465
Organization SubpartNo
Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169
Enumeration DateJuly 21, 2015
Last NPPES UpdateDecember 17, 20152 updates tracked since enumeration
✔ NPI 1447635388 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
100 MICHIGAN ST NE, Grand Rapids, MI 49503
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Other Names 1

Doing Business AsMeijer Pharmacy #465

Other Identifiers 3

Medicare NSC0460780210MI
Medicare PIN0N47510MI
Medicaid1447635388MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. 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 23D2100572

Meijer Pharmacy #465 · Grand Rapids, MI
Active · expires Aug 17, 2027
CLIA Number23D2100572
Laboratory TypePharmacy
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorJacqueline Morse
Laboratory Phone(616) 249-6210
Laboratory LocationMeijer Pharmacy #465100 Michigan Street NE Suite 1830, Grand Rapids, MI 49503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Meijer Pharmacy #465 carries, from the Medicare DMEPOS supplier directory.

Meijer Pharmacy #465

DMEPOS supplier · Grand Rapids, MIOperated by Meijer Inc
⋮

Does not accept Medicare assignment

Meijer Pharmacy #465 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)20651771
Medicare Participant SinceJanuary 1, 1998
Supplier Location100 Michigan St NE Ste 1830Grand Rapids, MI 49503
Phone(616) 249-6210
Supplier Specialties
Pharmacy Department Store Grocery Store

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 20

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

MAUREEN TAN PEDRES M.D.
Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
MATTHEW H ARMSTRONG MD
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
ALINE DE QUADROS TEIXEIRA MD
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
DR. LINDSEY DANIELLE CONRADO PT, DPT
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (161) 639-1177
DANIEL H. ROBINSON D.O.
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
MARK GREENWOOD DO
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Kent County (616) 391-5310
RAYMOND SCUREK MD
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1680
MRS. RACHEL LEIGH VANSTRIEN PA-C
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503
Kent County (616) 391-0800

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 1447635388. It was assigned to this organization in the NPPES registry on July 21, 2015. The provider is doing business as Meijer Pharmacy #465.

Where is Meijer, Inc. located?

Meijer, Inc. is located at 100 Michigan St NE Ste. 1830, Grand Rapids, MI 49503. The listed phone number is (616) 249-6210.

What is Meijer, Inc.'s specialty?

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

Does Meijer, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Meijer Pharmacy #465 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, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2100572) is associated with this NPI, valid through August 17, 2027. 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., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 34 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 December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.