Active NPI
Erik James Nelson, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH60343873
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60343873 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Pharma Associates, LLC | Past | Accepting new patients | |
| Sixth Avenue Medical Building Pharmacy | Past | Accepting new patients | |
| Sixth Avenue Medical Pharmacy Inc | Past | Accepting new patients | |
| Marketime Drug of Moscow Inc | Past | Accepting new patients | |
| Marketime Drug of Moscow Inc | Past | 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.
-
dba Sixth Avenue LTC Pharmacy
- Long Term Care Pharmacy
- Spokane, WA
- NPI 1093202087
-
dba Sixth Avenue Medical Pharmacy
- Pharmacy
- Spokane, WA
- NPI 1124039623
-
dba Suncrest Pharmacy
- Community/Retail Pharmacy
- Nine Mile Falls, WA
- NPI 1669033288
-
- Community/Retail Pharmacy
- Moscow, ID
- NPI 1164010229
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.