Chace Thomas Erickson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16119 Issued in NE

Practice address

6932 E. 1400 S.
Fort Duchesne, UT 84026

Phone

(435) 725-6877

NPI assigned

Jul 12, 2018

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Male

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

Doctor of Pharmacy

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.

• DHHS IHS Phoenix Area

  dba Unitah & Ouray Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Fort Duchesne, UT
  • NPI 1477688190
  NPD (past)

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1922584002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "FORT DUCHESNE",
            "state": "UT",
            "postal_code": "840260160",
            "telephone_number": "435-725-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 E. 1400 S.",
            "city": "FORT DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-725-6877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Corner of Routes N12 and N7",
            "address_purpose": "LOCATION",
            "city": "Fort Defiance",
            "state": "AZ",
            "postal_code": "86504",
            "country_code": "US",
            "telephone_number": "928-729-8328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "CHACE",
        "middle_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "16119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhew Ind HLTH SVCS & MNTL HLTH SVCS
• DHHS IHS Phoenix Area (Unitah & Ouray Health Center)
• DHHS IHS Phoenix Area (Uintah & Ouray Health Center)
• William P Durant, MD
• Chelsea Lee Ellsworth, DNP, FNP-C, APRN
• James Kevin Farrell, RPH
• Fort Duchesne Indian Health Center Laboratory
• Fort Duchesne Indian Health Center Radiology
• Juanita M Fox, RN, CDE
• Leon Keith Hutchinson, RPH

• Pharmacist in Fort Duchesne, UT
• Providers in Fort Duchesne, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.