Organization Active NPI

Kalamazoo Long Term Care LLC

  • Long Term Care Pharmacy
  • Kalamazoo, MI
National Provider Identifier
1912914797
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5301008411 Issued in MI
Legal business name
KALAMAZOO LONG TERM CARE LLC
Practice address
1000 S Burdick St
Kalamazoo, MI 49001-2734
Phone
(269) 388-4850
Fax
(269) 388-4870
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Erik Nelson, RPH
Title
Owner
Phone
(269) 388-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 5301008411 MI Primary

Addresses

Primary practice location

1000 S Burdick St
Kalamazoo, MI 49001-2734

Mailing address

PO Box 87
Richland, MI 49083-0087
Phone (269) 388-4850

Other identifiers 1

IdentifierTypeStateIssuer
2368505OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KALAMAZOO LONG TERM CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215002265 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1254580319 Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

1000 S Burdick St
Kalamazoo, MI 49001
Phone (269) 388-4850

535 S Burdick St
Ste 220
Kalamazoo, MI 49007
Phone (269) 388-4850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1912914797",
    "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": "269-388-4850",
            "fax_number": "269-388-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012734",
            "telephone_number": "269-388-4850",
            "fax_number": "269-388-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO LONG TERM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-388-4850",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301008411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2368505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KALAMAZOO LONG TERM CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.