| NPI | 1265825574 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-03-11 |
| Last Updated | 2015-06-03 |
| Authorized Official | Jason Beauch Director of Pharmacy Managed Care Phone: 6167913169 |
| Mailing Address | 2929 Walker Ave Nw Grand Rapids, MI 49544-6402 United States Phone: (616) 791-3169 | Fax: (616) 735-8532 📍 View Map |
| Primary Practice Address | 15 Caberfae Hwy M-55 Manistee, MI 49660-1109 United States Phone: (231) 887-5210 | Fax: (231) 887-5165 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 1265825574 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | MI | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MI | - |
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About NPI 1265825574
Meijer, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1265825574. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Manistee, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-03-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265825574?
NPI 1265825574 belongs to Meijer, Inc., a Pharmacy, Community/Retail Pharmacy in Manistee, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265825574 active?
The current status of NPI 1265825574 in the NPPES registry is Active. The record was last updated on 2015-06-03.
What specialty is NPI 1265825574?
NPI 1265825574 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 1265825574?
You can verify NPI 1265825574 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 1265825574?
The primary practice address on file for NPI 1265825574 is 15 Caberfae Hwy M-55, Manistee, MI 49660-1109. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265825574 issued?
NPI 1265825574 was first issued (enumerated) on 2015-03-11. The NPPES record was last updated on 2015-06-03.
Practice Location Map
Meijer, Inc. is located at 15 Caberfae Hwy M-55, Manistee, 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.