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MEIJER PHARMACY #103
NPI 1760547525
Pharmacy - Community/Retail Pharmacy in Dayton, OH

Active since December 22, 2006CLIA 36D1008727 · Waiver
5858 SPRINGBORO PIKE, DAYTON, OH 45449(937) 291-8910(937) 291-8965 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meijer Pharmacy #103 NPPES

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

MEIJER PHARMACY #103 (NPI 1760547525) is a healthcare organization registered as a community/retail pharmacy in Dayton, Ohio and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1760547525
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER STORES LIMITED PARTNERSHIP
Location Address5858 SPRINGBORO PIKEDayton, OH 45449-2809
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-9424 · (616) 791-3169 · Fax (616) 735-8532
Phone(937) 291-8910
Fax(937) 291-8965
Organization SubpartNo
Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169
Enumeration DateDecember 22, 2006
Last NPPES UpdateMarch 17, 2014
✔ NPI 1760547525 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 OH · 02649300
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 02649300 (OH)
5858 SPRINGBORO PIKE, Dayton, OH 45449
Open in Google Maps ↗

Other Names 1

Doing Business AsMeijer Pharmacy #103

Other Identifiers 3

Medicare NSC6685160007OH
Medicare PINH191610OH
Medicaid0834628OH

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 36D1008727

Meijer Pharmacy #103 · Dayton, OH
Active · expires Jan 26, 2027
CLIA Number36D1008727
Laboratory TypePharmacy
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorJacqueline Morse
Laboratory Phone(937) 436-4544
Laboratory LocationMeijer Pharmacy #1035858 Springboro Pike, Dayton, OH 45449
CLIA data matches this NPI record on: Address 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.
216 services214 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.
191 services191 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.
128 services128 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

Other Providers at the Same Location NPPES 4

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

SHANNON I WILMOT R.PH.
Pharmacist
5858 SPRINGBORO PIKE
DAYTON, OH 45449
Montgomery County (937) 748-1152
MARK NIEDERKOHR RPH
Pharmacist
5858 SPRINGBORO PIKE
DAYTON, OH 45449
Montgomery County (937) 291-8933
DR. ALYSE MARIE FITZPATRICK PHARMD, RPH
Pharmacist
5858 SPRINGBORO PIKE
DAYTON, OH 45449
Montgomery County (937) 291-8910
MISS SHIRLEY POST
Pharmacist
5858 SPRINGBORO PIKE
DAYTON, OH 45449
Montgomery County (937) 436-4544

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 1760547525. It was assigned to this organization in the NPPES registry on December 22, 2006. The provider is doing business as Meijer Pharmacy #103.

Where is Meijer Stores Limited Partnership located?

Meijer Stores Limited Partnership is located at 5858 Springboro Pike, Dayton, OH 45449. The listed phone number is (937) 291-8910.

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 36D1008727) is associated with this NPI, valid through January 26, 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 49 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 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.