Organization Active NPI

Erik L Nelson

  • Community/Retail Pharmacy
  • Galesburg, MI
National Provider Identifier
1962410431
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5315008162 Issued in MI
Legal business name
ERIK L NELSON
Doing business as
GALESBURG PHARMACY
Practice address
10310 Miller Dr
Galesburg, MI 49053-9581
Phone
(269) 665-9727
Fax
(269) 665-9575
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erik Nelson, RPH
Title
Owner
Phone
(269) 665-9727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5315008162 MI Primary

Addresses

Primary practice location

10310 Miller Dr
Galesburg, MI 49053-9581

Mailing address

PO Box 87
Richland, MI 49083-0087
Phone (269) 665-9727

Other identifiers 2

IdentifierTypeStateIssuer
2042869OtherPK
1962410431MedicaidMI

Other names 1

  • GALESBURG PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930011236 MI DME Supplier - Pharmacy 4880806892 Practice locations: Galesburg, MI
O20200922000150 MI Part B Supplier - Pharmacy 4880806892 Practice locations: Galesburg, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Erik L Nelson10310 Miller Dr, Galesburg, MI 49053-9556(269) 665-9727 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jun 6, 2001

National Provider Directory

National Provider Directory

Locations

9880 E Michigan Ave
Galesburg, MI 49053
Phone (269) 665-5022

10310 Miller Dr
Galesburg, MI 49053
Phone (269) 286-7150

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1962410431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490830087",
            "telephone_number": "269-665-9727",
            "fax_number": "269-665-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 MILLER DR",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490539581",
            "telephone_number": "269-665-9727",
            "fax_number": "269-665-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK L NELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-19",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-665-9727",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5315008162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042869",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962410431",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALESBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GALESBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.