Michael James Joldersma, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

114903-8 Issued in MN

Practice address

975 E Frontage Rd
Litchfield, MN 55355-2613

Phone

(320) 693-7034

Fax

(320) 693-7039

NPI assigned

May 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pamida Stores Operating Co LLC

  • Community/Retail Pharmacy
  • Litchfield, MN
  • NPI 1487608600
  NPD (past)
• Employee Health Advocate LTD

  • Community Health Clinic/Center
  • Wauconda, IL
  • NPI 1639128200
  NPD (past)

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104829647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25070 628TH AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553555212",
            "telephone_number": "320-693-9285",
            "fax_number": "320-693-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E FRONTAGE RD",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553552613",
            "telephone_number": "320-693-7034",
            "fax_number": "320-693-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLDERSMA",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "114903-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Jensen, PHN
• Teresa Ellen Joens-Pautzke, BA,LADC
• Abigail Taylor Johnson, DDS
• Daniel A Johnson, MD
• Kimberly Ann Johnson, MA CCCSP
• Kateri Kormann
• Keller Counseling and Coaching, LLC
• Rachel Joy Keller
• Judith Karen Kellner, RPT
• Timothy Ryan Kinsella, D.C.

• All providers in Litchfield, MN
• Pharmacist in Minnesota

• 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.