Active NPI
Richard Eugene Erickson II, PHARMACIST
- Pharmacist
- Yankton, SD
National Provider Identifier
1306969985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4488
- Practice address
- 1100 Douglas Ave
Yankton, SD 57078-3076 - Phone
- (605) 665-3262
- Fax
- (605) 668-1124
- NPI assigned
- Apr 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4488 | SD | Primary |
Addresses
Primary practice location
1100 Douglas Ave
Yankton, SD 57078-3076
Mailing address
812 Grandview Cir
Yankton, SD 57078-4907
Phone (605) 665-7570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4488 | Other | SD | PHARMACY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4488 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yankton Federal Prison Camp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prison Health Clinic/Center
- Yankton, SD
- NPI 1770712721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306969985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 GRANDVIEW CIR",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784907",
"telephone_number": "605-665-7570",
"fax_number": "605-668-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 DOUGLAS AVE",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783076",
"telephone_number": "605-665-3262",
"fax_number": "605-668-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "RICHARD",
"middle_name": "EUGENE",
"name_suffix": "II",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "4488",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yankton, SD
- Cindy Ellefson
- Elwood Family Dental Care PC
- Paige Elizabeth Elwood, D.D.S.
- Tracie Erdmann, LPC, NCC, QMHP
- Gregory Scott Erickson, MD
- Matthew James Erlandson, D.C.
- McKenzie Rae Erlandson, D.C.
- Michaela Eskens, LPC
- Family Education and Counseling Center
- Family Medicine Clinic of Yankton Professional LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.