Individual provider Active NPI

Erik James Nelson, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Spokane, WA
National Provider Identifier
1215377544
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PH60343873 Issued in WA
Practice address
508 W 6TH Ave Ste 104
Spokane, WA 99204-2701
Phone
(509) 455-9345
Fax
(509) 455-4479
NPI assigned
Jul 1, 2013
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60343873 WA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH60343873 WA Primary

Addresses

Primary practice location

508 W 6TH Ave Ste 104
Spokane, WA 99204-2701

Mailing address

508 W 6TH Ave
Spokane, WA 99204-2770
Phone (509) 455-9345

Other practice location 1

5919 Highway 291 Ste 5
Nine Mile Falls, WA 99026-9007
Phone (509) 413-2030

Other practice location 2

872 Troy Rd Ste 120
Moscow, ID 83843-5037
Phone (208) 882-7541

Other practice location 3

1802 N Monroe St
Spokane, WA 99205-4528
Phone (509) 343-6252

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH60343873WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
First Pharma Associates, LLC PastSince Feb 1, 2021 Accepting new patients
Sixth Avenue Medical Building Pharmacy PastSince Jul 17, 2022 Accepting new patients
Sixth Avenue Medical Pharmacy Inc PastSince Jul 17, 2022 Accepting new patients
Marketime Drug of Moscow Inc PastSince Jan 10, 2021 Accepting new patients
Marketime Drug of Moscow Inc PastSince Jan 10, 2021 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1215377544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W 6TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042770",
            "telephone_number": "509-455-9345",
            "fax_number": "509-455-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W 6TH AVE STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042701",
            "telephone_number": "509-455-9345",
            "fax_number": "509-455-4479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5919 Highway 291 Ste 5",
            "address_purpose": "LOCATION",
            "city": "Nine Mile Falls",
            "state": "WA",
            "postal_code": "990269007",
            "country_code": "US",
            "telephone_number": "509-413-2030",
            "fax_number": "509-413-2091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "872 Troy Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838435037",
            "country_code": "US",
            "telephone_number": "208-882-7541",
            "fax_number": "208-883-4716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992054528",
            "country_code": "US",
            "telephone_number": "509-343-6252",
            "fax_number": "509-343-6251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ERIK",
        "middle_name": "JAMES",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60343873",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60343873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.