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MEIJER PHARMACY #305
NPI 1871066175
Pharmacy - Community/Retail Pharmacy in Sheboygan, WI

Active since January 09, 2019CLIA 52D2161661 · Waiver
924 N TAYLOR DR, SHEBOYGAN, WI 53081(920) 547-2610(920) 547-2595 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2019, Jan 9, 2019 (2 updates tracked since 2019).

About Meijer Pharmacy #305 NPPES

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

MEIJER PHARMACY #305 (NPI 1871066175) is a healthcare organization registered as a community/retail pharmacy in Sheboygan, Wisconsin and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Mindy Edgar, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1871066175
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER STORES LIMITED PARTNERSHIP
Location Address924 N TAYLOR DRSheboygan, WI 53081-4202
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402
Phone(920) 547-2610
Fax(920) 547-2595
Organization SubpartNo
Authorized OfficialMindy EdgarDirector Of Managed Care · (616) 791-3961
Enumeration DateJanuary 9, 2019
Last NPPES UpdateMay 2, 20192 updates tracked since enumeration
✔ NPI 1871066175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
924 N TAYLOR DR, Sheboygan, WI 53081
Open in Google Maps ↗

Other Names 1

Doing Business AsMeijer Pharmacy #305

Other Identifiers 1

Medicaid100087149WI

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 52D2161661

Meijer Pharmacy #305 · Sheboygan, WI
Active · expires Feb 6, 2027
CLIA Number52D2161661
Laboratory TypePharmacy
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorJacqueline Morse
Laboratory Phone(920) 547-2610
Laboratory LocationMeijer Pharmacy #305924 N Taylor Dr, Sheboygan, WI 53081
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 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.
307 services307 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.
295 services295 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.
229 services229 patients

Other Providers at the Same Location NPPES 3

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

ALICIA DAVISTER PHARMD
Pharmacist
924 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 547-2610
DR. DEREK GENE KEMPF PHARM.D.
Pharmacist
924 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 547-2628
AMBER GOLEMBESKI RN
Nurse Practitioner
924 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 395-7210

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 1871066175. It was assigned to this organization in the NPPES registry on January 9, 2019. The provider is doing business as Meijer Pharmacy #305.

Where is Meijer Stores Limited Partnership located?

Meijer Stores Limited Partnership is located at 924 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (920) 547-2610.

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 52D2161661) is associated with this NPI, valid through February 6, 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 May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.