{"npi":"1508367111","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":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"25225 SCHOENHERR RD","city":"WARREN","state":"MI","postal_code":"48089","country_code":"US","phone":"5862109810","fax":"5862109865"},{"purpose":"MAILING","street_1":"2929 WALKER AVE NW","city":"GRAND RAPIDS","state":"MI","postal_code":"495446402","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1508367111","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180720002996","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"MI","pac_id":"8325015639"}]},"enumeration_date":"2018-02-28","last_updated":"2018-10-10","_meta":{"source":"NPPES","snapshot_date":"2018-10-10","doc_url":"https://findmynpi.com/api"}}