Eric Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18547-40 Issued in WI

Practice address

2351 Coulee Rd
Hudson, WI 54016-9177

Phone

(715) 381-9661

NPI assigned

May 7, 2018

Last updated

May 7, 2018By 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 2

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.

• Ericksons Diversified LLC

  dba Econofoods Pharmacy

  • Community/Retail Pharmacy
  • Red Wing, MN
  • NPI 1194873000
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1952890816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 COULEE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 COULEE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169177",
            "telephone_number": "715-381-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123080",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18547-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Anderson and Associates, LLC
• Jka5 Hudson Inc (Amdahl Hearing)
• Victoria Jean Johanneck, PSY.D., M.DIV.
• Brooke Catherine John
• Michele Johnsen
• Heather Nicole Johnson
• Jacob Johnson, D.O.
• Jennifer Renee Johnson, RN
• Kathleen O'Keefe Johnson, OTA L
• Kristine Anne Johnson, NP-C

• Pharmacist in Hudson, WI
• Providers in Hudson, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.