MEIJER, INC. (NPI# 1568501468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568501468 |
| Entity Type | Organization |
| Organization Name | MEIJER, INC. |
| Other Organization Name | MEIJER PHARMACY #030 |
| Practice Address |
2777 Airport Rd Jackson MI 49202-1239 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-9424 |
| Practice Telephone | 5177830010 |
| Practice Fax Number | 5177830065 |
| Mailing Telephone | 6167913169 |
| Mailing Fax Number | 6167358532 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | JASON BEAUCH (DIRECTOR OF PHARMACY MANAGED CARE) |
| Authorized Official Telephone | 6167913169 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5301002980 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301002980 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2305743 | 05 |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #030 | 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 |
2777 AIRPORT RD |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783739 | Megahn Lammers | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2019-08-01 |
| 1437675592 | Jamie Lee Jones | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2017-08-20 |
| 1922496009 | Nathan Allen Pallett | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2014-12-25 |
| 1508269937 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2777 Airport Rd, Jackson, MI 49202-1239 | 2014-09-30 |
| 1477963890 | James Cheney | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2014-05-07 |
| 1275943920 | Pamela Jean Rose | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2014-05-03 |
| 1063780930 | April Kirk | Pharmacist | 2777 Airport Rd, Jackson, MI 49202 | 2011-12-07 |
| 1447384565 | Julianne R Berry | Pharmacist | 2777 Airport Rd, Jackson, MI 49202-1239 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| 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 |
|---|---|---|---|---|
| 1144874868 | Whitney Harris Drugs, Inc. | Pharmacy | 1200 Eastover Dr Ste 175, Jackson, MS 39211-6317 | 2019-07-31 |
| 1013576826 | Avita Drugs Mississippi, LLC | Pharmacy | 805 E River Pl Ste A, Jackson, MS 39202-3486 | 2019-06-06 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| 1952823783 | Teton County Hospital District | Pharmacy | 555 E Broadway Ave Ste 212, Jackson, WY 83001-8640 | 2017-07-13 |
| 1477955037 | Jackson Village Pharmacy LLC | Pharmacy | 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 | 2014-09-25 |
| 1215341623 | Rite Aid | Pharmacy | 702 Bennett Mills Road, Jackson, NJ 08527 | 2014-06-13 |
| 1134251812 | Main Midtown Inc | Pharmacy | 346 E Fortification St, Jackson, MS 39202-2325 | 2007-03-09 |
| 1003943176 | Ljc,inc Dba Stone Drug | Pharmacy | 830 West Broadway, Box 9000, Jackson, WY 83001 | 2007-02-27 |
| 1003968322 | Carel Pharmacy | Pharmacy | 2010 W County Line Rd, Jackson, NJ 08527-2001 | 2007-01-17 |
| 1316095573 | Gold Kimball International, Inc. | Pharmacy | 2080 W County Line Rd, Jackson, NJ 08527-2015 | 2007-01-06 |
| Find all providers in JACKSON | ||||
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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.