MEIJER PHARMACY #271
NPI 1881010205
Pharmacy - Community/Retail Pharmacy in South Haven, MI

Q: What is Meijer, Inc.'s NPI number?

The NPI number for Meijer, Inc. is 1881010205. It was assigned to this organization in the NPPES registry on March 10, 2014. The provider is doing business as Meijer Pharmacy #271.

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 June 10, 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 March 10, 2014CLIA 23D2074357 · Waiver

1223 PHOENIX ST., SOUTH HAVEN, MI 49090(269) 639-3510(269) 639-3565 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Meijer Pharmacy #271 NPPES

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

MEIJER PHARMACY #271 (NPI 1881010205) is a healthcare organization registered as a community/retail pharmacy in South Haven, Michigan and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1881010205

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER, INC.

Location Address1223 PHOENIX ST.South Haven, MI 49090-7911

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

Phone(269) 639-3510

Fax(269) 639-3565

Organization SubpartNo

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

Enumeration DateMarch 10, 2014

Last NPPES UpdateJune 10, 2014

✔ NPI 1881010205 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 · 5301010344

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 5301010344 (MI)

1223 PHOENIX ST., South Haven, MI 49090

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Other Names 1

Doing Business AsMeijer Pharmacy #271

Other Identifiers 3

Medicare NSC0460780204MI

Medicaid1881010205MI

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 #271 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 23D2074357

Meijer Pharmacy #271 · South Haven, MI

Active · expires Mar 5, 2028

CLIA Number23D2074357

Laboratory TypePharmacy

Certificate Effective DateMarch 6, 2026

Certificate Expiration DateMarch 5, 2028

Laboratory DirectorJacqueline Morse

Laboratory Phone(269) 639-3510

Laboratory LocationMeijer Pharmacy #2711223 Phoenix Street, South Haven, MI 49090

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 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.

277 services275 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.

267 services267 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.

199 services199 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.

12 services12 patients

Other Providers at the Same Location NPPES

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

DR. NORMAN KEITH BARTMESS PHARMD

Pharmacist (Pharmacotherapy)

1223 PHOENIX ST.
SOUTH HAVEN, MI 49090

Van Buren County (236) 639-3510

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 1881010205. It was assigned to this organization in the NPPES registry on March 10, 2014. The provider is doing business as Meijer Pharmacy #271.

Where is Meijer, Inc. located?

Meijer, Inc. is located at 1223 Phoenix St., South Haven, MI 49090. The listed phone number is (269) 639-3510.

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 23D2074357) is associated with this NPI, valid through March 5, 2028. 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 June 10, 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.