Organization Active NPI

Delton Family Pharmacy

  • Community/Retail Pharmacy
  • Delton, MI
National Provider Identifier
1386758365
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DELTON FAMILY PHARMACY
Practice address
110 Maple St
Delton, MI 49046
Phone
(269) 623-5250
Fax
(269) 623-5140
NPI assigned
Aug 18, 2006
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Michael Holtz, RPHNPI 1679573364
Title
Pharmacist
Phone
(269) 672-7774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301008076 MI
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

110 Maple St
Delton, MI 49046

Mailing address

PO Box 190
Delton, MI 49046-0190

Other identifiers 2

IdentifierTypeStateIssuer
2333932OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1896117MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Delton Family Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 Maple St
Delton, MI 49046
Phone (269) 623-5250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1386758365",
    "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": "110 MAPLE ST",
            "city": "DELTON",
            "state": "MI",
            "postal_code": "49046",
            "telephone_number": "269-623-5250",
            "fax_number": "269-623-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTON FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "269-672-7774",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008076",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2333932",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1896117",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.