MR. MICHAEL A HOLTZ (NPI# 1679573364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679573364 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL A HOLTZ |
| Credential | R.PH. |
| Practice Address |
71 124th Ave Shelbyville MI 49344-9772 |
| Mailing Address |
12923 Canal View Dr Wayland MI 49348-9222 |
| Practice Telephone | 2696727774 |
| Mailing Telephone | 2697923790 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5302032772 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHARMACIST LICENSE | 5302032772 | 01 |
| MI | CONTROLLED SUBSTANCE LICE | 5302032772 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518369024 | Michael Paul Holtz | Nurse Practitioner | 624 W Lockling St, Brookfield, MO 64628-2003 | 2014-09-16 |
| 1235123019 | Michael Holtz | Podiatrist | 5253 Providence Rd, Suite 100, Virginia Beach, VA 23464-4201 | 2005-09-07 |
| 1134461908 | Michael Joseph Holtz | Emergency Medicine | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2013-03-20 |
| Street Address |
71 124TH AVE |
| City | SHELBYVILLE |
| State | MI |
| Zip Code | 49344-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017456 | Great Lakes Rph | Pharmacy | 71 124th Ave, Shelbyville, MI 49344-9772 | 2005-07-18 |
| 1902970668 | Great Lakes R.ph. Corp | Durable Medical Equipment & Medical Supplies | 71 124th Ave, Shelbyville, MI 49344 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972670248 | Daniel Joe Lavengood | Chiropractor | 11925 Marsh Rd, Shelbyville, MI 49344 | 2006-11-29 |
| 1619328879 | Kelsey Mosher | Pharmacist | 2880 Mission Dr, Shelbyville, MI 49344 | 2016-06-28 |
| 1871030122 | Bobbi Keyzer | Registered Nurse | 972 129th Ave, Shelbyville, MI 49344-9509 | 2017-01-25 |
| 1952685588 | Match-e-be-nash-she-wish Band of Pottawatomi Indians | Clinic/Center | 2880 Mission Dr, Shelbyville, MI 49344-9580 | 2011-09-30 |
| 1689232241 | Match-e-be-nash-she-wish Band of Pottawatomi Indians | Pharmacy | 2880 Mission Dr, Shelbyville, MI 49344-9580 | 2019-05-30 |
| 1578961868 | Misty Wuis | Licensed Practical Nurse | 2423 Pearl St, Shelbyville, MI 49344-9700 | 2014-12-18 |
| 1750731972 | Elizabeth Spaulding | Technician, Other | 2535 7th St Apt 6, Shelbyville, MI 49344-9761 | 2016-06-18 |
| 1053941088 | Camille Woolf Irvine | Dietitian, Registered | 5419 Fawn Lake Dr, Shelbyville, MI 49344-9780 | 2020-01-17 |
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033645072 | Priscilla Patel | Pharmacist | 135 N Point Cir N, Shelbyville, TN 37160-7423 | 2017-05-11 |
| 1235564832 | Cher D Mitchell | Pharmacist | 2208 Antioch Rd, Shelbyville, KY 40065-9754 | 2013-09-13 |
| 1578995783 | Lauren Elizabeth Schisler | Pharmacist | 1605 Midland Trl, Shelbyville, KY 40065-1638 | 2013-07-30 |
| 1053689265 | Danny G Law | Pharmacist | 448 Naron Rd, Shelbyville, TN 37160-6729 | 2011-12-02 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
| 1215060793 | William Carlyle Johnson | Pharmacist | 710 Madison St, Shelbyville, TN 37160-3519 | 2007-03-13 |
| 1750446365 | Pharmacists Assoc of Shelby Co Inc | Pharmacist | 207 S Pine, Suite 10, Shelbyville, IL 62565-1749 | 2006-12-26 |
| 1891856126 | Jamie Dawn Jefson | Pharmacist | 1603 W. Main Street, Shelbyville, IL 62565 | 2006-12-12 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 49344 |
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| 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.