MEIJER PHARMACY #274
NPI 1730574864
Pharmacy - Community/Retail Pharmacy in Grafton, WI

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

The NPI number for Meijer Stores Limited Partnership is 1730574864. It was assigned to this organization in the NPPES registry on April 6, 2015. The provider is doing business as Meijer Pharmacy #274.

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 April 06, 2015CLIA 52D2095206 · Waiver

1600 N. PORT WASHINGTON RD., GRAFTON, WI 53024(262) 204-2810(262) 204-2765 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Meijer Pharmacy #274 NPPES

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

MEIJER PHARMACY #274 (NPI 1730574864) is a healthcare organization registered as a community/retail pharmacy in Grafton, Wisconsin and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1730574864

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER STORES LIMITED PARTNERSHIP

Location Address1600 N. PORT WASHINGTON RD.Grafton, WI 53024-9771

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

Phone(262) 204-2810

Fax(262) 204-2765

Organization SubpartNo

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

Enumeration DateApril 6, 2015

Last NPPES UpdateJuly 9, 2015

✔ NPI 1730574864 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 WI · 9312

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 9312 (WI)

1600 N. PORT WASHINGTON RD., Grafton, WI 53024

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Other Names 1

Doing Business AsMeijer Pharmacy #274

Other Identifiers 3

Medicare NSC6685160077WI

Medicaid100045172WI

Medicare PINK300218943WI

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 52D2095206

Meijer Pharmacy #274 · Grafton, WI

Active · expires May 3, 2027

CLIA Number52D2095206

Laboratory TypePharmacy

Certificate Effective DateMay 4, 2025

Certificate Expiration DateMay 3, 2027

Laboratory DirectorJacqueline Morse

Laboratory Phone(262) 204-2810

Laboratory LocationMeijer Pharmacy #2741600 Port Washington Rd, Grafton, WI 53024

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 3

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.

325 services323 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.

310 services310 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.

209 services209 patients

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 Stores Limited Partnership's NPI number?

The NPI number for Meijer Stores Limited Partnership is 1730574864. It was assigned to this organization in the NPPES registry on April 6, 2015. The provider is doing business as Meijer Pharmacy #274.

Where is Meijer Stores Limited Partnership located?

Meijer Stores Limited Partnership is located at 1600 N. Port Washington Rd., Grafton, WI 53024. The listed phone number is (262) 204-2810.

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.

Does Meijer Stores Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2095206) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Meijer Stores Limited Partnership accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Meijer Stores Limited Partnership 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 Stores Limited Partnership was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.