HORIZON PHARMACY LTC, LLC (NPI# 1093229361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093229361 |
| Entity Type | Organization |
| Organization Name | HORIZON PHARMACY LTC, LLC |
| Practice Address |
4150 Kalamazoo Ave Se Grand Rapids MI 49508-3605 |
| Mailing Address |
Po Box 87 Richland MI 49083-0087 |
| Practice Telephone | 6165919595 |
| Practice Fax Number | 6162089596 |
| Mailing Telephone | 6169132007 |
| Mailing Fax Number | 6169133060 |
| Enumeration Date | 2017-11-25 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | ERIK NELSON (OWNER) |
| Authorized Official Telephone | 6165919595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1093229361 | 05 | |
| PK | 2174038 | 01 |
| Street Address |
4150 KALAMAZOO AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314643 | Robin Renee Parks | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-10-23 |
| 1093314817 | Dawn V E Minnesma | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-10-22 |
| 1194330431 | Nancy Jo Baker | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-09-14 |
| 1477167492 | Aubrey Kingma | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-09-08 |
| 1114531589 | Grace K Elenbaas | Social Worker | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-09-03 |
| 1497369946 | Kelly Alaine Malski | Social Worker | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-09-02 |
| 1033723580 | Veronica Beatrice Horsley-pettigrew | Social Worker | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-09-02 |
| 1912511486 | Rashea Crystal Nidefski | Social Worker | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-09-02 |
| 1700499563 | Barbara Scothorn | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-08-31 |
| 1851904940 | Ryanne Eileen Mondry | Social Worker | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225688229 | Guardian Pharmacy of Grand Rapids, LLC | Pharmacy | 2930 29th St Se, Grand Rapids, MI 49512-1723 | 2019-09-12 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1083849640 | Pca-corrections LLC | Pharmacy | 4665 44th St Se Ste A1106, Grand Rapids, MI 49512-4052 | 2009-05-26 |
| 1437252475 | Tcpi Acquisition LLC | Pharmacy | 3650 Broadmoor Ave Se, Suite 108, Grand Rapids, MI 49512-3925 | 2006-09-06 |
| 1356981922 | Home Town Pharmacy Inc | Pharmacy | 4252 Kalamazoo Ave Se, Grand Rapids, MI 49508-3607 | 2020-01-13 |
| 1093819229 | State of Michigan | Pharmacy | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772159 | Krx Medication Consultants | Pharmacy | 8266 Fernwood St, Augusta, MI 49012 | 2020-05-28 |
| 1235751306 | Ypsilanti Family Pharmacy, Inc. | Pharmacy | 2287 Ellsworth Rd Ste A, Ypsilanti, MI 48197-4805 | 2020-05-12 |
| 1366082935 | Home Town Pharmacy Inc | Pharmacy | 1114 W South Airport Rd, Traverse City, MI 49686-4739 | 2020-01-13 |
| 1619510328 | Great Lakes Pharmacies I Inc | Pharmacy | 6213 Chicago Rd Ste 200, Warren, MI 48092-1697 | 2019-10-25 |
| 1710520143 | H & L Drugs Inc | Pharmacy | 1455 S Lapeer Rd Ste 101, Lake Orion, MI 48360-1468 | 2019-10-17 |
| 1457905259 | Senior Care Rx LLC | Pharmacy | 24293 Telegraph Rd Ste 130, Southfield, MI 48033-7924 | 2019-07-30 |
| 1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
| 1457812117 | Pharmtek LLC | Pharmacy | 3307 Orchard Lake Rd, Keego Harbor, MI 48320-1308 | 2019-03-26 |
| 1801350772 | Prestige Specialty Pharmacy 2 | Pharmacy | 31700 Van Dyke Ave Ste B, Warren, MI 48093-7949 | 2019-01-24 |
| 1194296707 | Palmer Ltc Pharmacy LLC | Pharmacy | 4020 Venoy Rd Ste 900b, Wayne, MI 48184-4818 | 2018-12-07 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on HORIZON PHARMACY LTC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.