Active NPI
Douglas Erickson, PHARMD
- Pharmacist
- Kernersville, NC
National Provider Identifier
1508313479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15150
- Practice address
- 1601 Old Greensboro Rd
Kernersville, NC 27284-6855 - Phone
- (844) 871-4773
- Fax
- (844) 871-4776
- NPI assigned
- Sep 8, 2016
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15150 | NC | Primary |
| Pharmacist | 183500000X | RP449445 | PA | |
| Pharmacist | 183500000X | 39037 | TN | |
| Pharmacist | 183500000X | 9856 | SC | |
| Pharmacist | 183500000X | PS30438 | FL | |
| Pharmacist | 183500000X | 14842 | NE | |
| Pharmacist | 183500000X | 202208924 | VA | |
| Pharmacist | 183500000X | RP0009855 | WV |
Addresses
Primary practice location
1601 Old Greensboro Rd
Kernersville, NC 27284-6855
Mailing address
1601 Old Greensboro Rd
Kernersville, NC 27284-6855
Phone (844) 871-4773
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS30438 | FL | MD | Pharmacist |
| 14842 | NE | MD | Pharmacist |
| RP449445 | PA | MD | Pharmacist |
| 9856 | SC | MD | Pharmacist |
| 39037 | TN | MD | Pharmacist |
| 202208924 | VA | MD | Pharmacist |
| RP0009855 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1508313479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 OLD GREENSBORO RD",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272846855",
"telephone_number": "844-871-4773",
"fax_number": "844-871-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 OLD GREENSBORO RD",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272846855",
"telephone_number": "844-871-4773",
"fax_number": "844-871-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "DOUGLAS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15150",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449445",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "39037",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "9856",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS30438",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14842",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "202208924",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0009855",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.