Delton Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008076 Issued in MI

Legal business name

DELTON FAMILY PHARMACY INC

Doing business as

Delton Family Pharmacy

Practice address

338 N Grove St
Delton, MI 49046-9601

Phone

(269) 623-5250

Fax

(269) 623-5140

NPI assigned

Nov 27, 2006

Last updated

Oct 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Holtz, RPH

Title

Pharmacist

Phone

(269) 623-5250

Specialties & licenses 1

Addresses

Other names 1

• DELTON FAMILY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1104992734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "DELTON",
            "state": "MI",
            "postal_code": "490460190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 N GROVE ST",
            "city": "DELTON",
            "state": "MI",
            "postal_code": "490469601",
            "telephone_number": "269-623-5250",
            "fax_number": "269-623-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTON FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "269-623-5250",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELTON FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Woodrow Dahl, ATC
• Jill Degoede
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• Delton Family Dental
• Delton Family Pharmacy
• Delton Family Pharmacy Inc (Delton Family Pharmacy)
• Lyndsay Elyse Eckhart, CBD
• Sallie Mae Emert
• JCR DO PLC (Delton Medical Center)
• John D Kehl, PA

• Community/Retail Pharmacy in Delton, MI
• Providers in Delton, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.