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MEIJER PHARMACY #289
NPI 1891159455
Pharmacy - Community/Retail Pharmacy in Round Lake Beach, IL

Active since April 11, 2016CLIA 14D2112269 · Waiver
750 E ROLLINS RD, ROUND LAKE BEACH, IL 60073(847) 210-0810(847) 201-0765 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2021, Oct 25, 2016, Oct 17, 2016 and 1 more (4 updates tracked since 2016).

About Meijer Pharmacy #289 NPPES

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

MEIJER PHARMACY #289 (NPI 1891159455) is a healthcare organization registered as a community/retail pharmacy in Round Lake Beach, Illinois and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through April 25, 2028 and lists Jason Beauch, Vp Of Pharmacy Merchandising, as its authorized official.

NPPES Registry Identity

NPI1891159455
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEIJER GREAT LAKES LIMITED PARTNERSHIP
Location Address750 E ROLLINS RDRound Lake Beach, IL 60073-1340
Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-6402 · (616) 791-3169 · Fax (616) 793-5853
Phone(847) 210-0810
Fax(847) 201-0765
Organization SubpartNo
Authorized OfficialJason BeauchVp Of Pharmacy Merchandising · (616) 791-3169
Enumeration DateApril 11, 2016
Last NPPES UpdateFebruary 25, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1891159455 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
750 E ROLLINS RD, Round Lake Beach, IL 60073
Open in Google Maps ↗

Other Names 1

Doing Business AsMeijer Pharmacy #289

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 14D2112269

Meijer Pharmacy #289 · Round Lake Beach, IL
Active · expires Apr 25, 2028
CLIA Number14D2112269
Laboratory TypePharmacy
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorJacqueline S. Morse
Laboratory Phone(847) 201-0810
Laboratory LocationMeijer Pharmacy #289750 E Rollins Rd, Round Lake Beach, IL 60073
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.
121 services120 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.
114 services114 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.
82 services82 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

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Meijer Pharmacy #289 carries, from the Medicare DMEPOS supplier directory.

Meijer Pharmacy #289

DMEPOS supplier · Round Lake Beach, ILOperated by Meijer Great Lakes Limited Partnership
⋮

Does not accept Medicare assignment

Meijer Pharmacy #289 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20311703
Medicare Participant SinceJanuary 1, 2023
Supplier Location750 E Rollins RdRound Lake Beach, IL 60073
Phone(847) 201-0810
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

DANIEL & MAX, LLC
Eyewear Supplier
750 E ROLLINS RD
ROUND LAKE BEACH, IL 60073
Lake County (847) 740-5178
USV OPTICAL INC.
Eyewear Supplier
750 E ROLLINS RD
ROUND LAKE BEACH, IL 60073
Lake County (847) 740-5178

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 Great Lakes Limited Partnership's NPI number?

The NPI number for Meijer Great Lakes Limited Partnership is 1891159455. It was assigned to this organization in the NPPES registry on April 11, 2016. The provider is doing business as Meijer Pharmacy #289.

Where is Meijer Great Lakes Limited Partnership located?

Meijer Great Lakes Limited Partnership is located at 750 E Rollins Rd, Round Lake Beach, IL 60073. The listed phone number is (847) 210-0810.

What is Meijer Great Lakes Limited Partnership's specialty?

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

Does Meijer Great Lakes Limited Partnership accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Meijer Pharmacy #289 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Meijer Great Lakes Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2112269) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Meijer Great Lakes 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 Great Lakes 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 Great Lakes Limited Partnership was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.