Individual provider Active NPI

Michael John Erskine

  • Pharmacist
  • Williamsburg, VA
National Provider Identifier
1164717641
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202011872 Issued in VA
Practice address
200 Marquis Pkwy
Target T2296
Williamsburg, VA 23185-5371
Phone
(757) 259-3021
Fax
(757) 259-3013
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202011872 VA Primary

Addresses

Primary practice location

200 Marquis Pkwy
Target T2296
Williamsburg, VA 23185-5371

Mailing address

200 Marquis Pkwy
Target T2296
Williamsburg, VA 23185-5371
Phone (757) 259-3021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0202011872VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1164717641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARQUIS PKWY",
            "address_2": "TARGET T2296",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855371",
            "telephone_number": "757-259-3021",
            "fax_number": "757-259-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARQUIS PKWY",
            "address_2": "TARGET T2296",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855371",
            "telephone_number": "757-259-3021",
            "fax_number": "757-259-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSKINE",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.