MEIJER PHARMACY #065
NPI 1669512174
Pharmacy - Community/Retail Pharmacy in Shelby Township, MI

Q: What is Meijer Inc's NPI number?

The NPI number for Meijer Inc is 1669512174. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Meijer Pharmacy #065.

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 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 February 07, 2007CLIA 23D1008406 · Waiver

15055 HALL RD, SHELBY TOWNSHIP, MI 48315(586) 566-4110(586) 566-4165 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Meijer Pharmacy #065 NPPES

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

MEIJER PHARMACY #065 (NPI 1669512174) is a healthcare organization registered as a community/retail pharmacy in Shelby Township, Michigan and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1669512174

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER INC

Location Address15055 HALL RDShelby Township, MI 48315-6206

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

Phone(586) 566-4110

Fax(586) 566-4165

Organization SubpartNo

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

Enumeration DateFebruary 7, 2007

Last NPPES UpdateMarch 17, 2014

✔ NPI 1669512174 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 · 5301005163

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 5301005163 (MI)

15055 HALL RD, Shelby Township, MI 48315

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Other Names 1

Doing Business AsMeijer Pharmacy #065

Other Identifiers 3

Medicaid2345014MI

Medicare PIN0N47510MI

Medicare NSC0460780047

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 23D1008406

Meijer Pharmacy #65 · Utica, MI

Active · expires Jan 20, 2027

CLIA Number23D1008406

Laboratory TypePharmacy

Certificate Effective DateJanuary 21, 2025

Certificate Expiration DateJanuary 20, 2027

Laboratory DirectorJacqueline Morse

Laboratory Phone(586) 566-0420

Laboratory LocationMeijer Pharmacy #6515055 Hall Road, Utica, MI 48315

CLIA data matches this NPI record on: Name

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

Areas of Expertise CMS Part B claims 4

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.

161 services161 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.

150 services150 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.

79 services79 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.

11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Meijer Pharmacy #065 carries, from the Medicare DMEPOS supplier directory.

Meijer Pharmacy #065

DMEPOS supplier · Shelby Township, MIOperated by Meijer Inc

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Does not accept Medicare assignment

Meijer Pharmacy #065 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)20655917

Medicare Participant SinceJanuary 1, 1998

Supplier Location15055 Hall RdShelby Township, MI 48315

Phone(586) 566-0400

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.

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Other Providers at the Same Location NPPES 6

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

MRS. DARNELL BURTON RPH

Pharmacist (Pharmacotherapy)