Active NPI
Kalamazoo Long Term Care LLC
- Long Term Care Pharmacy
- Kalamazoo, MI
National Provider Identifier
1912914797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 5301008411
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2368505 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- KALAMAZOO LONG TERM CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201215002265 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254580319 | Practice locations: Kalamazoo, MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Kalamazoo, MI
- NPI 1386215069
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"
}
]
}
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- Kalamazoo Mental Wellness LLC
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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.