Individual provider Active NPI

Robert M. Meyers, BSPHARM. R.PH.

  • Pharmacist
  • Waterford, MI
National Provider Identifier
1669422002
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302020751 Issued in MI
Practice address
5100 Dixie Hwy
Waterford, MI 48329-1713
Phone
(248) 674-3183
Fax
(248) 674-2408
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302020751 MI Primary

Addresses

Primary practice location

5100 Dixie Hwy
Waterford, MI 48329-1713

Mailing address

5681 Kingfisher LN
Clarkston, MI 48346-2938
Phone (248) 625-5531

Other identifiers 1

IdentifierTypeStateIssuer
2325947OtherMINABP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5302020751MIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669422002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 KINGFISHER LN",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462938",
            "telephone_number": "248-625-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291713",
            "telephone_number": "248-674-3183",
            "fax_number": "248-674-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "BSPHARM. R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302020751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2325947",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.