{"npi":"1083764054","type":"NPI-2","status":"active","name":{"display":"Meijer INC","other":[],"organization_name":"MEIJER INC","authorised_official":"Jason Beauch"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":"MI","license":"5301006928"},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"MI","license":"5301006928"}]},"addresses":[{"purpose":"LOCATION","street_1":"15000 US 31","city":"GRAND HAVEN","state":"MI","postal_code":"49417","country_code":"US","phone":"6168478010","fax":"6168478065"},{"purpose":"MAILING","street_1":"2929 WALKER AVE NW","city":"GRAND RAPIDS","state":"MI","postal_code":"495449424","country_code":"US","phone":"6167913169","fax":"6167358532"}],"license":{"state":"MI","number":"5301006928"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2359568","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930089317","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"MI","pac_id":"8325015639"}]},"enumeration_date":"2007-01-11","last_updated":"2014-03-24","_meta":{"source":"NPPES","snapshot_date":"2014-03-24","doc_url":"https://findmynpi.com/api"}}