Active NPI
Trevor Ryan Erickson, RPH
- Pharmacist
- Eureka, MT
National Provider Identifier
1497826671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5244
- Practice address
- 546 US Highway 93 N
Eureka, MT 59917-9053 - Phone
- (406) 270-0061
- NPI assigned
- Nov 10, 2006
- Last updated
- Jan 19, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 5244 | MT | Primary |
Addresses
Primary practice location
546 US Highway 93 N
Eureka, MT 59917-9053
Mailing address
546 US Highway 93 N
Eureka, MT 59917-9053
Phone (406) 270-0061
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5244 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eureka Drug Inc | Current | Accepting new patients |
Locations
546 US Highway 93 N
Eureka, MT 59917
Phone (406) 297-7748
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1497826671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 US HIGHWAY 93 N",
"city": "EUREKA",
"state": "MT",
"postal_code": "599179053",
"telephone_number": "406-270-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 US HIGHWAY 93 N",
"city": "EUREKA",
"state": "MT",
"postal_code": "599179053",
"telephone_number": "406-270-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "TREVOR",
"middle_name": "RYAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "5244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, MT
- Christopher A Duarte, PA-C
- Amy Marie Durden, MS, LCPC
- Alice Bain Elrod, D.C.
- Eric Daniels DDS
- Amanda Erickson
- Eureka Drug Inc (Eureka Drug)
- Eureka Family Chiropractic P.C.
- Eureka of Cascadia, LLC (Mountain View of Cascadia)
- Eureka Public School Dist 13
- Eureka Volunteer Ambulance Service Inc (Eureka Volunteer Ambulance)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.