VAN BUREN PHARMACY
NPI 1982922779
Pharmacy - Community/Retail Pharmacy in Belleville, MI

NPI Status: Active since May 04, 2010

Contact Information

11650 BELLEVILLE RD
SUITE 103
BELLEVILLE, MI
ZIP 48111
Phone: (734) 325-6318
Fax: (734) 325-1007

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • CLIA Number: 23D2247316
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 01-04-2026

About VAN BUREN PHARMACY

This page provides the complete NPI Profile along with additional information for Van Buren Pharmacy, a provider established in Belleville, Michigan operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1982922779 assigned on May 2010. The practitioner's primary taxonomy code is 3336C0003X with license number 5301010196 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Van Buren Pharmacy. The authorized official of this NPI record is Sameerah Cortez Rph (P.i.c.)

NPI
1982922779
Provider Legal Name
VAN BUREN PHARMACY LLC
Other Organization Name
VAN BUREN PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11650 BELLEVILLE RD SUITE 103 BELLEVILLE, MI 48111
Location Phone
(734) 325-6318
Location Fax
(734) 325-1007
Mailing Address
11650 BELLEVILLE RD SUITE 103 BELLEVILLE, MI 48111
Mailing Phone
(734) 325-6318
Mailing Fax
(734) 325-1007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2010
Last Update Date
11-15-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
5301010196
License State
MI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMEERAH CORTEZ RPH

Authorized Official Title
P.I.C.
Authorized Official Phone
(734) 325-6318

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2125315OTHER (01)PK
1982922779MEDICAID (05)MI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2247316
Facility Type
Pharmacy
Certificate Effective Date
January 05, 2024
Certificate Expiration Date
January 04, 2026
Laboratory Director
GEBRE B. ASHEBIR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Van Buren Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982922779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 1 + 8 + 2 + 4 + 7 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1982922779.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Family Medicine
11650 BELLEVILLE RD, SUITE 101
VAN BUREN TWP, MI 48111
Clinic/Center (Urgent Care)
11650 BELLEVILLE RD, SUITE 101
VAN BUREN TWP, MI 48111
Anesthesiology (Pain Medicine)
11650 BELLEVILLE RD, SUITE 105
BELLEVILLE, MI 48111
Physical Therapist
11650 BELLEVILLE RD
BELLEVILLE, MI 48111
Physical Therapist
11650 BELLEVILLE RD
BELLEVILLE, MI 48111
Pharmacist
11650 BELLEVILLE RD
BELLEVILLE, MI 48111
Podiatrist
11650 BELLEVILLE RD
BELLEVILLE, MI 48111
Specialist
11650 BELLEVILLE RD, SUITE 105
BELLEVILLE, MI 48111
Internal Medicine
11650 BELLEVILLE RD
BELLEVILLE, MI 48111
Anesthesiology
11650 BELLEVILLE RD, SUITE 107
BELLEVILLE, MI 48111
Nurse Practitioner (Family)
11650 BELLEVILLE RD, SUITE 101
BELLEVILLE, MI 48111
Nurse Practitioner (Family)
11650 BELLEVILLE RD, SUITE 101
BELLEVILLE, MI 48111
Nurse Practitioner (Family)
11650 BELLEVILLE RD
VAN BUREN TWP, MI 48111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982922779, enumerated as an "organization" on May 04, 2010.

The provider is located at 11650 BELLEVILLE RD SUITE 103 BELLEVILLE, MI 48111 and the phone number is (734) 325-6318.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.