Erie Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02107600 Issued in OH

Legal business name

ERIE ENTERPRISES INC

Practice address

4502 Lewis Ave
Toledo, OH 43612-2335

Phone

(419) 476-4322

Fax

(419) 476-8830

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Michael CalabreseNPI 1447841382

Title

Pharmacist

Phone

(419) 476-4322

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ERIE DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Anthony Calabrese, RPH

  • Pharmacist
  • Toledo, OH
  • NPI 1447841382
  NPD Authorized official
• Richard Warren Dudley III, RPH

  • Pharmacist
  • Toledo, OH
  • NPI 1689310542
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1285723973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 LEWIS AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122335",
            "telephone_number": "419-476-4322",
            "fax_number": "419-476-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 LEWIS AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122335",
            "telephone_number": "419-476-4322",
            "fax_number": "419-476-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "CALABRESE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "419-476-4322"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02107600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2573255",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072341",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERIE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Eredics
• Erica Monroe
• Erica Zimmerman LLC
• Hayden G Ericson
• Wesley Ericson
• Hans Eriksen
• Sophie Eriksen, PA-S
• Marjorie Erlandsen
• Kera Errickson, AA
• Ruth S Erulkar, MD

• Community/Retail Pharmacy in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.