MEIJER, INC. (NPI# 1275929507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275929507 |
| Entity Type | Organization |
| Organization Name | MEIJER, INC. |
| Other Organization Name | MEIJER PHARMACY #286 |
| Practice Address |
21431 Grand River Ave Detroit MI 48219-3801 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-6402 |
| Practice Telephone | 3137787610 |
| Practice Fax Number | 3137787665 |
| Mailing Telephone | 6167913169 |
| Mailing Fax Number | 6167358532 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-06-19 |
| Authorized Official Name | JASON BEAUCH (DIRECTOR OF PHARMACY MANAGED CARE) |
| Authorized Official Telephone | 6167913169 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5301010661 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010661 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1275929507 | 05 |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #286 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376007518 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 4665 S Green Ave, Fremont, MI 49412-9509 | 2019-01-22 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1750826525 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 1138 W 3 Mile Rd, Sault Sainte Marie, MI 49783-9132 | 2017-01-03 |
| 1265825574 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 15 Caberfae Hwy M-55, Manistee, MI 49660-1109 | 2015-03-11 |
| 1902299332 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 1251 M 32 W, Alpena, MI 49707-8105 | 2015-03-10 |
| 1881010205 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 1223 Phoenix St., South Haven, MI 49090-7911 | 2014-03-10 |
| 1902245293 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 1301 W 8 Mile Rd, Detroit, MI 48203-1021 | 2013-06-19 |
| 1851634232 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 4141 Morrish Rd., Swartz Creek, MI 48473 | 2013-04-03 |
| 1073870929 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 7157 E Saginaw St, East Lansing, MI 48823-9601 | 2012-04-17 |
| Street Address |
21431 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033253794 | Children's Ambulatory Services, LLC | Clinic/Center | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2007-02-16 |
| 1093369001 | Tony Tayar | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2019-07-29 |
| 1295283778 | Justin R Super | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2016-09-14 |
| 1447627765 | Indrit Agalliu | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2015-08-24 |
| 1518246362 | Pratik Patel | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1912523986 | Gratiot Seven Pharmacy, LLC | Pharmacy | 12740 Gratiot Ave Ste 100, Detroit, MI 48205-3944 | 2020-06-24 |
| 1396361366 | Grand Greenfield Pharmacy, LLC | Pharmacy | 14661 Greenfield Rd Ste B, Detroit, MI 48227-2231 | 2020-06-24 |
| 1114556859 | Buena Salud LLC | Pharmacy | 7607 W Vernor Hwy, Detroit, MI 48209-1513 | 2020-04-04 |
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1952938516 | Sinai Medical Pharmacy, LLC | Pharmacy | 16841 Schaefer Hwy, Detroit, MI 48235-4271 | 2020-03-24 |
| 1881231991 | Six Mile Medical Pharmacy, LLC | Pharmacy | 10420 W Mcnichols Rd Ste A, Detroit, MI 48221-2356 | 2019-12-08 |
| 1215570791 | Goshen Pharmacy LLC | Pharmacy | 16800 Greenfield Rd Unit B2, Detroit, MI 48235-3703 | 2019-10-28 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.