Active NPI
Shelby Lynn Erickson, PHARMD
- Pharmacist
- Sheboygan, WI
National Provider Identifier
1710722913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22604-40
- Practice address
- 2702 Calumet Dr
Sheboygan, WI 53083-3835 - Phone
- (920) 457-5656
- NPI assigned
- Jun 28, 2024
- Last updated
- Jun 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 22604-40 | WI | Primary |
Addresses
Primary practice location
2702 Calumet Dr
Sheboygan, WI 53083-3835
Mailing address
1463 Meadowbrooke CT Apt 4
Grafton, WI 53024-1524
Phone (920) 382-6482
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 |
|---|---|---|---|
| 22604-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2702 Calumet Dr
Sheboygan, WI 53083
Phone (920) 457-5656
Organizations & group practices 2
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": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1710722913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1463 MEADOWBROOKE CT APT 4",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530241524",
"telephone_number": "920-382-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 CALUMET DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530833835",
"telephone_number": "920-457-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "SHELBY",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "22604-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
- Linden J Engelsma, PA-C
- Jennifer A English, APNP
- Jessica L Entringer, DO
- Christopher Jay Erdman, CSAC, SW, ICS
- Sydney Erdmann, OTR
- Laura Ann Ernster, APNP
- Susan Anne Edna Evans, DPM
- Extendicare Homes, Inc. (Sheboygan Progressive Care Center)
- Extendicare Homes, Inc. (Morningside Health Center)
- Extendicare Homes, Inc. (Meadow View Manor Nursing Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.