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MEIJER PHARMACY #113
NPI 1801945407
Pharmacy - Community/Retail Pharmacy in Corunna, MI

Active since January 10, 2007CLIA 23D1008383 · Waiver
2591 EAST M-21, CORUNNA, MI 48817(989) 743-2510(989) 743-2523 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Meijer Pharmacy #113 NPPES

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

MEIJER PHARMACY #113 (NPI 1801945407) is a healthcare organization registered as a community/retail pharmacy in Corunna, Michigan and active in the NPI registry since January 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

NPI1801945407
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER INC
Location Address2591 EAST M-21Corunna, MI 48817
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-9424 · (616) 791-3169 · Fax (616) 735-8532
Phone(989) 743-2510
Fax(989) 743-2523
Organization SubpartNo
Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMarch 17, 2014
✔ NPI 1801945407 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 · 5301005714
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 5301005714 (MI)
2591 EAST M-21, Corunna, MI 48817
Open in Google Maps ↗

Other Names 1

Doing Business AsMeijer Pharmacy #113

Other Identifiers 3

Medicare ID-Type Unspecified0460780037MI
Medicaid2349923MI
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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meijer Pharmacy #113 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20071022000424Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 23D1008383

Meijer Pharmacy #113 · Corunna, MI
Active · expires Jan 20, 2027
CLIA Number23D1008383
Laboratory TypePharmacy
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorJacqueline Morse
Laboratory Phone(989) 743-3432
Laboratory LocationMeijer Pharmacy #1132591 East M-21, Corunna, MI 48817
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 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.
133 services130 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.
122 services122 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.
91 services91 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 Inc's NPI number?

The NPI number for Meijer Inc is 1801945407. It was assigned to this organization in the NPPES registry on January 10, 2007. The provider is doing business as Meijer Pharmacy #113.

Where is Meijer Inc located?

Meijer Inc is located at 2591 East M-21, Corunna, MI 48817. The listed phone number is (989) 743-2510.

What is Meijer Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Meijer Inc enrolled in Medicare?

Yes. Meijer Inc is registered in the Medicare PECOS enrollment system.

When is Meijer Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Mass Immunization (Roster Biller Only)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Meijer Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1008383) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Meijer Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 47 other insurers list Meijer Inc 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 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.