Delton Family Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DELTON FAMILY PHARMACY INC

Practice address

338 N Grove St
Delton, MI 49046-9601

Phone

(269) 623-5250

NPI assigned

Nov 18, 2024

Organization subpart

Yes

Parent organization

DELTON FAMILY PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Michael A Holtz

Title

Pharmacist/Owner

Phone

(269) 792-3790

Specialties & licenses 1

Addresses

Other names 1

• Delton Family Pharmacy Doing business as

Tax ID family

Delton Family Pharmacy Inc2 organizations share this tax ID, including this one

Part of

Delton Family Pharmacy Inc

Other organizations with this tax ID 1

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

• Delton Family Pharmacy

  • Community/Retail Pharmacy
  • Delton, MI
  • NPI 1386758365
  NPD tax ID

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1992520787",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTON FAMILY PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELTON FAMILY PHARMACY INC",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "269-792-3790"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delton Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Degoede
• Diane Marie Dekoster
• Delton Family Dental
• Delton Family Pharmacy
• Delton Family Pharmacy Inc
• Lyndsay Elyse Eckhart, CBD
• Sallie Mae Emert
• JCR DO PLC
• John D Kehl, PA
• Tyler Koerth, ATC

• All providers in Delton, MI
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.