Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scott Polivka

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1477190270

Scott Polivka is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

921 W Holmes Rd
Lansing, MI 48910-0439
Phone: (517) 393-7009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 5302036186 (MI)

Record details

NPI number1477190270
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 30, 2019
Last updated in NPPESNovember 30, 2019
Mailing address900 Long Blvd Apt 214, Lansing, MI 48911-6705

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