Organization Active NPI

Ericksons Diversified LLC

Doing business as Econofoods Pharmacy

  • Community/Retail Pharmacy
  • Red Wing, MN
National Provider Identifier
1194873000
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ERICKSONS DIVERSIFIED LLC
Doing business as
Econofoods Pharmacy
Family Fare Pharmacy 3328
Practice address
623 Main St
Red Wing, MN 55066-2249
Phone
(651) 388-3589
Fax
(651) 385-9394
NPI assigned
Jan 8, 2007
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Amy Ellis, RPH
Title
Director of Pharmacy
Phone
(616) 878-2848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2004716 MN
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

623 Main St
Red Wing, MN 55066-2249

Mailing address

1527 Momentum PL
Chicago, IL 60689-5315

Other identifiers 1

IdentifierTypeStateIssuer
331758700MedicaidMN

Other names 2

  • ECONOFOODS PHARMACY Doing business as
  • FAMILY FARE PHARMACY 3328 Doing business as

National Provider Directory

National Provider Directory

Locations

115 Elm St
Farmington, MN 55024
Phone (651) 460-6160

205 Washington Ave E
Hutchinson, MN 55350
Phone (320) 587-2969

951 Frontage Rd E
Litchfield, MN 55355
Phone (320) 693-3261

951 Frontage Rd E
#3335
Litchfield, MN 55355
Phone (320) 693-3261

603 Division St S
Northfield, MN 55057
Phone (507) 645-4489

615 Main St
Red Wing, MN 55066
Phone (651) 388-3589

623 Main St
Red Wing, MN 55066
Phone (651) 388-3589

623 Main St
#3328
Red Wing, MN 55066
Phone (651) 388-3589

612 S Minnesota Ave
Saint Peter, MN 56082
Phone (507) 931-5540

612 S Minnesota Ave
#3331
Saint Peter, MN 56082
Phone (507) 931-5540

1213 Gilmore Ave
Ste 1
Winona, MN 55987
Phone (507) 454-8635

622 E La Salle Ave
Barron, WI 54812
Phone (715) 537-5345

2351 Coulee Rd
Hudson, WI 54016
Phone (715) 381-9661

1508 9th St E
Menomonie, WI 54751
Phone (715) 235-9611

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1194873000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662249",
            "telephone_number": "651-388-3589",
            "fax_number": "651-385-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSONS DIVERSIFIED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "616-878-2848",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2004716",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331758700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECONOFOODS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECONOFOODS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY FARE PHARMACY 3328",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.