MEIJER
NPI 1477002970
Pharmacy - Community/Retail Pharmacy in Southgate, MI

Q: What is Meijer's NPI number?

The NPI number for Meijer is 1477002970. It was assigned to this organization in the NPPES registry on September 25, 2016.

Q: What is Meijer's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Meijer was last updated on September 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2016CLIA 23D1004098 · Waiver

16300 FORT ST, PHARMACY, SOUTHGATE, MI 48195(734) 284-4250(734) 284-4763 Get Directions Write a Review

NPPES record last updated: September 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Meijer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEIJER (NPI 1477002970) is a healthcare organization registered as a community/retail pharmacy in Southgate, Michigan and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Vinnie Kew, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1477002970

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER

Location Address16300 FORT ST, PHARMACYSouthgate, MI 48195-1428

Mailing Address16300 Fort St, PharmacySouthgate, MI 48195-1428 · (734) 284-4250 · Fax (734) 284-4763

Phone(734) 284-4250

Fax(734) 284-4763

Organization SubpartNo

Authorized OfficialVinnie KewPharmacist · (734) 284-4250

Enumeration DateSeptember 25, 2016

✔ NPI 1477002970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MI · 5302040565

Definition

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.

16300 FORT ST, Southgate, MI 48195

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1004098

Meijer Pharmacy #123 · Southgate, MI

Active · expires Sep 18, 2026

CLIA Number23D1004098

Laboratory TypePharmacy

Certificate Effective DateSeptember 19, 2024

Certificate Expiration DateSeptember 18, 2026

Laboratory DirectorJacqueline Morse

Laboratory Phone(734) 284-4250

Laboratory LocationMeijer Pharmacy #12316300 Fort Street, Southgate, MI 48195

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID ALEJANDO BERMUDEZ PHARMD

Pharmacist (Pharmacotherapy)