Meijer, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009317 Issued in MI

Legal business name

MEIJER, INC.

Doing business as

Meijer Pharmacy #257

Practice address

1201 Lears Rd
Petoskey, MI 49770-9252

Phone

(231) 348-4310

Fax

(231) 348-6365

NPI assigned

Apr 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Beauch, RPH

Title

Director of Pharmacy Managed Care

Phone

(616) 791-3169

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Meijer Pharmacy #257 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Meijer127 organizations share this tax ID, including this one

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.

• Meijer Inc

  • Community/Retail Pharmacy
  • Saginaw, MI
  • NPI 1255471793
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Midland, MI
  • NPI 1255496048
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Traverse City, MI
  • NPI 1265571178
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Mt Pleasant, MI
  • NPI 1275673600
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Grand Ledge, MI
  • NPI 1285773226
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Belleville, MI
  • NPI 1285799031
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Monroe, MI
  • NPI 1316087745
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Big Rapids, MI
  • NPI 1316093784
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Royal Oak, MI
  • NPI 1326187246
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Ludington, MI
  • NPI 1346261088
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Marysville, MI
  • NPI 1346305133
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Battle Creek, MI
  • NPI 1386794592
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Kay Allman, PHARMD RPH

  • Pharmacist
  • Petoskey, MI
  • NPI 1285308700
  NPD (past)
• Joshua James Barraw, PHARMD

  • Pharmacist
  • Petoskey, MI
  • NPI 1376985119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1336464312",
    "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": "616-791-3169",
            "fax_number": "616-735-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LEARS RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709252",
            "telephone_number": "231-348-4310",
            "fax_number": "231-348-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIJER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "BEAUCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY MANAGED CARE",
        "authorized_official_telephone_number": "616-791-3169",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301009317",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2373873",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meijer Pharmacy #257",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Phillip Mead, M.D.
• Sharnee Michaela Mead, DO
• Medco Home Care, Inc.
• Denise Davidson Meeks, C.N.M.
• William Lloyd Meengs, MD
• Lauren Wadland Meisel, M.D.
• Amber Merrow, MSW, LMSW
• Kennedy Mesnard
• Ryan Miceli
• Michael W Johnson, MD, PC

• Community/Retail Pharmacy in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.

Verify at the official NPI Registry.