Active NPI
Meijer, Inc
Doing business as Meijer Pharmacy #326
- Pharmacy
- West Branch, MI
National Provider Identifier
1285385047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MEIJER, INC
- Doing business as
- Meijer Pharmacy #326
- Practice address
- 3691 W M 55
West Branch, MI 48661-9607 - Phone
- (989) 312-8104
- Fax
- (989) 312-8115
- NPI assigned
- Jan 13, 2022
- Last updated
- Jan 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ian Nagy, RPH
- Title
- Manager Government Managed Care
- Phone
- (616) 249-6272
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
3691 W M 55
West Branch, MI 48661-9607
Mailing address
2929 Walker Ave NW
Grand Rapids, MI 49544-6402
Phone (616) 791-3485
Other names 1
- Meijer Pharmacy #326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071022000424 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325015639 | This NPI is an additional NPI on the enrollment |
| O20220819002133 | MI | DME Supplier - Pharmacy | 8325015639 | Practice locations: West Branch, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2254639 | Meijer Pharmacy #326 | Certificate of waiver | Mar 6, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Meijer Inc | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Meijer Pharmacy 150
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Grand Rapids, MI
- NPI 1306275649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642032000000",
"number": "1285385047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 WALKER AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495446402",
"telephone_number": "616-791-3485",
"fax_number": "616-735-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3691 W M 55",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619607",
"telephone_number": "989-312-8104",
"fax_number": "989-312-8115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEIJER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-13",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "NAGY",
"authorized_official_first_name": "IAN",
"authorized_official_title_or_position": "MANAGER GOVERNMENT MANAGED CARE",
"authorized_official_telephone_number": "616-249-6272",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meijer Pharmacy #326",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.