| NPI | 1083764054 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-01-11 |
| Last Updated | 2014-03-24 |
| Authorized Official | Jason Beauch Director of Pharmacy Managed Care Phone: 6167913169 |
| Mailing Address | 2929 Walker Ave Nw Grand Rapids, MI 49544-9424 United States Phone: (616) 791-3169 | Fax: (616) 735-8532 📍 View Map |
| Primary Practice Address | 15000 Us 31 Grand Haven, MI 49417 United States Phone: (616) 847-8010 | Fax: (616) 847-8065 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 2359568 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | MI | 5301006928 |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MI | 5301006928 |
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About NPI 1083764054
Meijer Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083764054. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Grand Haven, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083764054?
NPI 1083764054 belongs to Meijer Inc, a Pharmacy, Community/Retail Pharmacy in Grand Haven, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083764054 active?
The current status of NPI 1083764054 in the NPPES registry is Active. The record was last updated on 2014-03-24.
What specialty is NPI 1083764054?
NPI 1083764054 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083764054?
You can verify NPI 1083764054 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083764054?
The primary practice address on file for NPI 1083764054 is 15000 Us 31, Grand Haven, MI 49417. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083764054 issued?
NPI 1083764054 was first issued (enumerated) on 2007-01-11. The NPPES record was last updated on 2014-03-24.
Practice Location Map
Meijer Inc is located at 15000 Us 31, Grand Haven, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Meijer Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083764054. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 5301006928 | MI |
| Pharmacy, Community/Retail Pharmacy | 5301006928 | MI |