Meijer, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEIJER, INC.

Practice address

100 Michigan St NE
Ste. 1830
Grand Rapids, MI 49503-2560

Phone

(616) 249-6210

Fax

(616) 249-6465

NPI assigned

Jul 21, 2015

Organization subpart

No

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

Authorized official

Name

Jason Beauch, R.PH

Title

Director of Pharmacy Managed Care

Phone

(616) 791-3169

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Meijer Pharmacy #465 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
  • 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
• Meijer Inc

  • Community/Retail Pharmacy
  • Lapeer, MI
  • NPI 1396809596
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Grand Rapids, MI
  • NPI 1407995632
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Waterford, MI
  • NPI 1437299914
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Portage, MI
  • NPI 1447270384
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • East Lansing, MI
  • NPI 1447390919
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Lansing, MI
  • NPI 1447399407
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Madison Heights, MI
  • NPI 1457416323
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Kalamazoo, MI
  • NPI 1457490419
  NPD tax ID
• Meijer Inc

  • Community/Retail Pharmacy
  • Howell, MI
  • NPI 1477603777
  NPD tax ID

Locations

Practitioners 3

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

• Sara Kolc Brown, PHARM.D.

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1114405446
  NPD (past)
• Brooke Roe, PHARMD

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1487062345
  NPD (past)
• Christine Allison Stever, RPH

  • Pharmacotherapy Pharmacist
  • Grand Rapids, MI
  • NPI 1407208374
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1447635388",
    "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": "100 MICHIGAN ST NE",
            "address_2": "STE. 1830",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-249-6210",
            "fax_number": "616-249-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIJER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-12-17",
        "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": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447635388",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meijer Pharmacy #465",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meijer Inc
• Meijer Inc
• Meijer Inc
• Meijer Inc
• Meijer Inc.
• Meijer, Inc.
• Lauren Elizabeth Meijer
• Mallory Ann Meikle
• Camelia Meindertsma
• Michael S Meindertsma, MD

• Community/Retail Pharmacy in Grand Rapids, MI
• Providers in Grand Rapids, 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 Dec 17, 2015; 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.