Active NPI
Meijer Inc
Doing business as Meijer Pharmacy #044
- Community/Retail Pharmacy
- Flint, MI
National Provider Identifier
1861532319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301003667
- Legal business name
- MEIJER INC
- Doing business as
- Meijer Pharmacy #044
- Practice address
- 2474 W Hill Rd
Flint, MI 48507-3821 - Phone
- (810) 766-8310
- Fax
- (810) 766-8365
- NPI assigned
- Feb 7, 2007
- 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
- Jason Beauch, RPH
- Title
- Director of Pharmacy Managed Care
- Phone
- (616) 791-3169
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5301003667 | MI | |
| Community/Retail Pharmacy | 3336C0003X | 5301003667 | MI | Primary |
Addresses
Primary practice location
2474 W Hill Rd
Flint, MI 48507-3821
Mailing address
2929 Walker Ave NW
Grand Rapids, MI 49544-9424
Phone (616) 791-3169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2330859 | Medicaid | MI |
Other names 1
- Meijer Pharmacy #044
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 |
| O20100930035433 | MI | DME Supplier - Pharmacy | 8325015639 | Practice locations: Flint, 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.
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
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.
-
- Pharmacy
- Dewitt, MI
- NPI 1952717340
Locations
2474 W Hill Rd
Flint, MI 48507
Phone (810) 766-8310
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Flint, MI
- NPI 1427512920
-
- Pharmacotherapy Pharmacist
- Flint, MI
- NPI 1184324691
-
- Pharmacotherapy Pharmacist
- Flint, MI
- NPI 1235620485
-
- Pharmacist
- Flint, MI
- NPI 1194192278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395014400000",
"number": "1861532319",
"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": "495449424",
"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": "2474 W HILL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485073821",
"telephone_number": "810-766-8310",
"fax_number": "810-766-8365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEIJER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2014-03-17",
"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": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "5301003667",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301003667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2330859",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meijer Pharmacy #044",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.