Shirley A Erickson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

3411 Issued in MT

Practice address

211 N Broadway Ave
Red Lodge, MT 59068

Phone

(406) 446-1017

Fax

(406) 446-2516

NPI assigned

Oct 21, 2020

Last updated

Dec 8, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Red Lodge Drug Co Inc

  • Community/Retail Pharmacy
  • Red Lodge, MT
  • NPI 1346338936
  NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1407455454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590681030",
            "telephone_number": "406-446-1017",
            "fax_number": "406-446-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY AVE",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "59068",
            "telephone_number": "406-446-1017",
            "fax_number": "406-446-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "SHIRLEY",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "3411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Elise Clark, MD
• County of Carbon
• Jordan Thomas Dobmeier, DDS
• Kathleen Joyce Durant, D.C.
• Craig C Erickson
• Patrick Erley, PA-C
• David George Evans, D.D.S.P.C.
• Thomas Bradley Fouts, MD
• Kelsey Jo Fraser, DDS
• Steven Wallace Fugere, OTR

• Pharmacist in Red Lodge, MT
• Providers in Red Lodge, MT by specialty
• Pharmacist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.