Horizon Pharmacy LTC, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

HORIZON PHARMACY LTC, LLC

Practice address

5716 West River Dr NE
Belmont, MI 49306-9206

Phone

(616) 591-9595

Fax

(616) 208-9596

NPI assigned

Nov 25, 2017

Organization subpart

No

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

Authorized official

Name

Erik Nelson

Title

Owner

Phone

(616) 591-9595

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1093229361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490830087",
            "telephone_number": "616-591-9595",
            "fax_number": "616-208-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 WEST RIVER DR NE",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493069206",
            "telephone_number": "616-591-9595",
            "fax_number": "616-208-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON PHARMACY LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-25",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-591-9595"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093229361",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174038",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kltcpharmacy.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "KALAMAZOO LONG TERM CARE LLC",
            "address_1": "1000 S Burdick St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490012734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Gulliver
• Timothy Robert Hartman, D.C.
• Virginia M Hayataka
• Kathleen Ann Hickey, RN
• Tessa Hill, COTA/L
• Kathleen Diane Hyink, L.M.S.W.
• Kristi Jackson
• Jupiter Family Medicine PC
• John Paul Klooster, DDS
• Brian Richard Kooiker Sr.

• All providers in Belmont, MI
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.