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PREMIER MD DME
NPI 1780173971
Pharmacy - Clinic Pharmacy in Southfield, MI

Active since May 03, 2018
29155 NORTHWESTERN HWY STE 428, SOUTHFIELD, MI 48034(877) 220-8411 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2020, Jan 6, 2020, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

About Premier Md Dme NPPES

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

PREMIER MD DME (NPI 1780173971) is a healthcare organization registered as a clinic pharmacy in Southfield, Michigan and active in the NPI registry since May 2018. The organization lists Anzour S Jallouqa, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1780173971
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NamePREMIER MEDICAL DEVELOPMENT
Location Address29155 NORTHWESTERN HWY STE 428Southfield, MI 48034-1011
Mailing Address29155 Northwestern Hwy Ste 428Southfield, MI 48034-1011
Phone(877) 220-8411
Organization SubpartNo
Authorized OfficialAnzour S JallouqaPractice Manager · (877) 220-8411
Enumeration DateMay 3, 2018
Last NPPES UpdateNovember 16, 20204 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1780173971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
29155 NORTHWESTERN HWY STE 428, Southfield, MI 48034
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Other Names 3

Doing Business AsPremier Md Dme
Doing Business AsPremier Md
Doing Business AsPremier Md Midwest Medical Lab

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Medical Development's NPI number?

The NPI number for Premier Medical Development is 1780173971. It was assigned to this organization in the NPPES registry on May 3, 2018. The provider is doing business as Premier MD Dme, Premier MD and Premier MD Midwest Medical Lab.

Where is Premier Medical Development located?

Premier Medical Development is located at 29155 Northwestern Hwy Ste 428, Southfield, MI 48034. The listed phone number is (877) 220-8411.

What is Premier Medical Development's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Premier Medical Development was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.