Active NPI
Jamie Kalean Erickson, PHARMD
- Pharmacist
- Willmar, MN
National Provider Identifier
1972147858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124561
- Practice address
- 101 Willmar Ave SW
Willmar, MN 56201-3556 - Phone
- (320) 214-6962
- NPI assigned
- Nov 4, 2019
- Last updated
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 124561 | MN | Primary |
Addresses
Primary practice location
101 Willmar Ave SW
Willmar, MN 56201-3556
Mailing address
21957 Vista Rd
Hutchinson, MN 55350-4025
Phone (320) 779-0548
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 |
|---|---|---|---|
| 124561 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1972147858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21957 VISTA RD",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553504025",
"telephone_number": "320-779-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WILLMAR AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562013556",
"telephone_number": "320-214-6962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "JAMIE",
"middle_name": "KALEAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.