SCOTT POLIVKA
NPI 1477190270
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lansing, MI

Active since November 30, 2019
921 W HOLMES RD, LANSING, MI 48910(517) 393-7009 Get Directions Write a Review

NPPES record last updated: November 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Polivka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT POLIVKA (NPI 1477190270) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Lansing, Michigan, licensed in Michigan (5302036186) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1477190270
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameSCOTT POLIVKA
Location Address921 W HOLMES RDLansing, MI 48910-0439
Mailing Address900 Long Blvd Apt 214Lansing, MI 48911-6705 · (517) 275-2871
Sole ProprietorNo
Enumeration DateNovember 30, 2019
NPI 1477190270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in MI · 5302036186
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
921 W HOLMES RD, Lansing, MI 48910

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
921 W HOLMES RD
LANSING, MI 48910
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
921 W HOLMES RD
LANSING, MI 48910
Pharmacist
921 W HOLMES RD
LANSING, MI 48910
Pharmacist
921 W HOLMES RD, PHARMACY DEPT.
LANSING, MI 48910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Polivka's NPI number?

The NPI number for Scott Polivka is 1477190270. It was assigned to this individual provider in the NPPES registry on November 30, 2019.

Where is Scott Polivka located?

Scott Polivka practices at 921 W Holmes Rd, Lansing, MI 48910. The listed phone number is (517) 393-7009.

What is Scott Polivka's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Scott Polivka was last updated on November 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.