MEIJER PHARMACY #149
NPI 1528338332
Pharmacy - Clinic Pharmacy in Michigan City, IN

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

The NPI number for Meijer Stores Limited Partnership is 1528338332. It was assigned to this organization in the NPPES registry on January 10, 2012. The provider is doing business as Meijer Pharmacy #149.

Q: What is Meijer Stores Limited Partnership's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since January 10, 2012CLIA 15D1008263 · Waiver

5150 FRANKLIN ST, MICHIGAN CITY, IN 46360(219) 877-2410(219) 877-2465 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 #149 NPPES

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

MEIJER PHARMACY #149 (NPI 1528338332) is a healthcare organization registered as a clinic pharmacy in Michigan City, 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

NPI1528338332

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameMEIJER STORES LIMITED PARTNERSHIP

Location Address5150 FRANKLIN STMichigan City, IN 46360-7878

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

Phone(219) 877-2410

Fax(219) 877-2465

Organization SubpartNo

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

Enumeration DateJanuary 10, 2012

Last NPPES UpdateMarch 21, 2014

✔ NPI 1528338332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in IN · 60004967

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 60004967 (IN)

5150 FRANKLIN ST, Michigan City, IN 46360

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Other Names 1

Doing Business AsMeijer Pharmacy #149

Other Identifiers 4

Medicaid1528338332MI

Medicaid201079310AIN

Medicare NSC6685160015IN

Medicare PINM300060375IN

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 15D1008263

Meijer Pharmacy #149 · Michigan City, IN

Active · expires Jan 14, 2027

CLIA Number15D1008263

Laboratory TypePharmacy

Certificate Effective DateJanuary 15, 2025

Certificate Expiration DateJanuary 14, 2027

Laboratory DirectorJacqueline Morse

Laboratory Phone(219) 877-2410

Laboratory LocationMeijer Pharmacy #1495150 S Franklin /Us 421, Michigan City, IN 46360

CLIA data matches this NPI record on: 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.

281 services278 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.

272 services272 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.

212 services212 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.

22 services22 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.

20 services20 patients

Other Providers at the Same Location NPPES 12

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

LOGAN CLOYD PHARMD

Pharmacist