MEIJER PHARMACY #216
NPI 1639233638
Pharmacy - Community/Retail Pharmacy in Grand Rapids, MI

Q: What is Meijer Inc's NPI number?

The NPI number for Meijer Inc is 1639233638. It was assigned to this organization in the NPPES registry on December 21, 2006. The provider is doing business as Meijer Pharmacy #216.

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 March 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 21, 2006CLIA 23D1038202 · Waiver

315 WILSON AVE NW, GRAND RAPIDS, MI 49534(616) 735-2110(616) 735-2165 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Meijer Pharmacy #216 NPPES

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

MEIJER PHARMACY #216 (NPI 1639233638) is a healthcare organization registered as a community/retail pharmacy in Grand Rapids, Michigan and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1639233638

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER INC

Location Address315 WILSON AVE NWGrand Rapids, MI 49534-3554

Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-9424 · (616) 791-3169 · Fax (616) 735-8532

Phone(616) 735-2110

Fax(616) 735-2165

Organization SubpartNo

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

Enumeration DateDecember 21, 2006

Last NPPES UpdateMarch 24, 2014

✔ NPI 1639233638 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 MI · 5301008099

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 5301008099 (MI)

315 WILSON AVE NW, Grand Rapids, MI 49534

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Other Names 1

Doing Business AsMeijer Pharmacy #216

Other Identifiers 3

Medicaid2367058MI

Medicare NSC0460780170MI

Medicare PIN0N47510MI

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 23D1038202

Meijer Pharmacy #216 · Grand Rapids, MI

Active · expires Mar 13, 2027

CLIA Number23D1038202

Laboratory TypePharmacy

Certificate Effective DateMarch 14, 2025

Certificate Expiration DateMarch 13, 2027

Laboratory DirectorJacqueline Morse

Laboratory Phone(616) 735-2110

Laboratory LocationMeijer Pharmacy #216315 Wilson Avenue NW, Grand Rapids, MI 49544

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.

141 services141 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.

131 services131 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.

127 services127 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.

17 services17 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.

15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Meijer Pharmacy #216 carries, from the Medicare DMEPOS supplier directory.

Meijer Pharmacy #216

DMEPOS supplier · Grand Rapids, MIOperated by Meijer Inc

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Does not accept Medicare assignment

Meijer Pharmacy #216 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)20653061

Medicare Participant SinceJanuary 1, 1998

Supplier Location315 Wilson AveGrand Rapids, MI 49544

Phone(616) 735-2110

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 5

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

MS. APRIL D FLUIT R.PH.

Pharmacist (Pharmacotherapy)