Erik J Tjolsen

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302031070 Issued in MI

Practice address

400 N Main St Ste C
Onsted, MI 49265-9204

Phone

(517) 467-7225

NPI assigned

Oct 23, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Freedom Apothecary Inc

  dba Medicine Shoppe

  • Community/Retail Pharmacy
  • Onsted, MI
  • NPI 1124163753
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1437792355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "ONSTED",
            "state": "MI",
            "postal_code": "492659202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST STE C",
            "city": "ONSTED",
            "state": "MI",
            "postal_code": "492659204",
            "telephone_number": "517-467-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJOLSEN",
        "first_name": "ERIK",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302031070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "onsted",
            "affiliation": "Y",
            "endpointDescription": "MED SHOPPE PHARMACY",
            "affiliationName": "FREEDOM APOTHECARY INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 N Main St Ste C",
            "city": "Onsted",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492659204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judith Ann Parros, M.A., LPC
• James Alexander Phillip, D.C.
• Carla Marta Randolph, DDS
• Mary Kathleen Stark, ATC
• Catherine Lee Tervol, RN
• United Resolution Services
• Melissa S Vansickle, MD

• Pharmacist in Onsted, MI
• Providers in Onsted, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.