MEIJER INC (NPI# 1902955321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902955321 |
| Entity Type | Organization |
| Organization Name | MEIJER INC |
| Other Organization Name | MEIJER PHARMACY #122 |
| Practice Address |
49900 Grand River Ave Wixom MI 48393-3308 |
| Mailing Address |
2929 Walker Ave Nw Grand Rapids MI 49544-9424 |
| Practice Telephone | 2484498510 |
| Practice Fax Number | 2484498565 |
| Mailing Telephone | 6167913169 |
| Mailing Fax Number | 6167358532 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-03-19 |
| 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 | 5301006446 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301006446 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2355798 | 05 |
| Other Name | Type Code |
|---|---|
| Meijer Pharmacy #122 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619294105 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3610 Marketplace Cir, Rochester Hills, MI 48309-5515 | 2010-04-23 |
| 1942431093 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 2160 Hartland Rd, Hartland, MI 48353 | 2009-08-06 |
| 1790925360 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 250 Meijer Dr, Gaylord, MI 49735-7241 | 2009-02-23 |
| 1881834455 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3700 17 Mile Rd Ne, Cedar Springs, MI 49319 | 2009-02-23 |
| 1619124740 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 8089 Lapeer Rd, Davison, MI 48423-2529 | 2008-08-20 |
| 1497910988 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 9515 Birch Run Road, Birch Run, MI 48415-9613 | 2008-07-23 |
| 1780849349 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 40445 S Groesbeck Hwy, Clinton Twp, MI 48036-5005 | 2008-07-23 |
| 1679773659 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-19 |
| 1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
| 1790802601 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 12821 Crossover Dr, Dewitt, MI 48820-7993 | 2007-03-23 |
| Street Address |
49900 GRAND RIVER AVE |
| City | WIXOM |
| State | MI |
| Zip Code | 48393-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699253229 | Scott Clancey | Pharmacist | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2018-08-06 |
| 1306350582 | Kyle Snider | Pharmacist | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2017-11-27 |
| 1679983977 | Julie Adis | Pharmacist | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2014-05-07 |
| 1346650140 | Joy Fakhouri | Pharmacist | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2014-05-01 |
| 1912284324 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2011-11-14 |
| 1568595643 | Farah Gabrial Hado | Pharmacist | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
| 1356897086 | Amber Kay Smith | Technician, Other | 403 Meadows Circle South, Wixom, MI 48393 | 2016-09-01 |
| 1306259718 | Omaka Mokambe | Licensed Practical Nurse | 47915 Thornwood St Apt 11103, Wixom, MI 48393 | 2014-06-04 |
| 1932491487 | Carla's Comp-anionship & Care LLC | Point of Service | 30739 Tamarack St. #40101, Wixom, MI 48393 | 2011-05-03 |
| 1790981900 | Positive Reflections Empowerment Center | Community/Behavioral Health | 47922 Fernwood 12107, Wixom, MI 48393 | 2007-06-25 |
| 1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
| 1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
| 1629148853 | J & B Medical Supply Co Inc | Durable Medical Equipment & Medical Supplies | 50496 W Pontiac Trail, Wixom, MI 48393 | 2006-11-08 |
| 1487613899 | Shawn William Grant | Physical Therapist | 29822 Wixom Rd., Wixom, MI 48393 | 2006-03-23 |
| 1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
| Find all providers in zip 48393 | ||||
| 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 |
|---|---|---|---|---|
| 1376655233 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 1585 N Wixom Rd, Wixom, MI 48393-1411 | 2006-08-31 |
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| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.