Kennedy Marie Erickson, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PH61448116 Issued in WA

Practice address

422 S Market Blvd
Chehalis, WA 98532-3044

Phone

(360) 262-4211

NPI assigned

Sep 4, 2020

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Centralia Pharmacy Group Inc

  dba Chehalis Pharmacy LTC

  • Long Term Care Pharmacy
  • Chehalis, WA
  • NPI 1750068169
  NPD
• Centralia Pharmacy Group, Inc.

  dba Chehalis Pharmacy

  • Community/Retail Pharmacy
  • Chehalis, WA
  • NPI 1548974645
  NPD
• Heddens Pharmacy Inc

  dba Hedden's Pharmacy

  • Long Term Care Pharmacy
  • Tenino, WA
  • NPI 1124772850
  NPD (past)
• Heddens Pharmacy Inc

  dba Heddens Pharmacy

  • Community/Retail Pharmacy
  • Tenino, WA
  • NPI 1588675086
  NPD (past)
• Tim's Pharmacy & Gift Shop, LTD

  • Long Term Care Pharmacy
  • Yelm, WA
  • NPI 1669066460
  NPD (past)
• Tim's Pharmacy & Gift Shop, LTD

  • Community/Retail Pharmacy
  • Yelm, WA
  • NPI 1760475016

  Pharmacist

  NPD (past)

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1346854585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W CHERRY ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985312568",
            "telephone_number": "360-561-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323044",
            "telephone_number": "360-262-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Sussex Ave W",
            "address_purpose": "LOCATION",
            "city": "Tenino",
            "state": "WA",
            "postal_code": "985899327",
            "country_code": "US",
            "telephone_number": "360-264-2575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1812 Sumner Ave",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "985204602",
            "country_code": "US",
            "telephone_number": "360-533-1525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 S Tower Ave",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985313917",
            "country_code": "US",
            "telephone_number": "360-736-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 1st St S",
            "address_purpose": "LOCATION",
            "city": "Yelm",
            "state": "WA",
            "postal_code": "985977700",
            "country_code": "US",
            "telephone_number": "360-458-8467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KENNEDY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61448116",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH61448116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric A Elsemore, CRNA
• Danae Elsner, RN
• John Richard Elvin, LD
• Sarah Emmett, FNP
• Equilibrium Massage & Bodywork
• Ernest M Yamane DDS
• Ernest M. Yamane, DDS PS
• Eugenia Center
• Eugenia Center
• Mary Michelle Evans

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.