DR. BRIAN ERICKSON (NPI# 1588089668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588089668 |
| Entity Type | Individual |
| Full Name | DR. BRIAN ERICKSON |
| Credential | PHARM.D. |
| Practice Address |
31 Main Ave N Po Box F Bagley MN 56621-8315 |
| Practice Telephone | 2186946210 |
| Mailing Telephone | 2186946210 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 121222 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174563928 | Brian S. Erickson | Chiropractor | 7486 Martinsburg Pike, Shepherdstown, WV 25443 | 2006-06-08 |
| 1083108419 | Brian Roy Erickson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 380, Matthews, NC 28105 | 2018-06-19 |
| 1730539297 | Brian Charles Erickson | Family Medicine | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2016-06-15 |
| 1194013458 | Brian Erickson | Registered Nurse | 760 Hospital Circle, Browning, MT 59147-0730 | 2011-07-20 |
| 1457443673 | Brian Erickson | Anesthesiology | 111 Colchester Ave, Wp2, Burlington, VT 05401-1473 | 2006-09-28 |
| 1730168972 | Brian L. Erickson | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-01-16 |
| 1629064225 | Brian Allan Erickson | Emergency Medicine | 2222 N Nevada Ave, Ste 5011, Colorado Springs, CO 80907-6819 | 2005-09-20 |
| Street Address |
31 MAIN AVE N PO BOX F |
| City | BAGLEY |
| State | MN |
| Zip Code | 56621-8315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508956442 | Thrifty Drug Stores Inc | Pharmacy | 31 Main Ave N, Bagley, MN 56621-8315 | 2006-10-13 |
| 1033620075 | Amanda Jo Schmit | Pharmacist | 31 Main Ave N, Bagley, MN 56621-8315 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933685 | Kristyn Faith Bergh | Physical Therapist | 118 Central Street West, Bagley, MN 56621 | 2019-07-11 |
| 1366956823 | Brian Sterling Paramore | Nurse Practitioner | 1656 Central Ave St W, Bagley, MN 56621 | 2017-11-20 |
| 1942436985 | Cornerstone Residence of Bagley, Inc | Assisted Living Facility | 30 Sunset Ave Sw, Bagley, MN 56621 | 2009-06-04 |
| 1548419708 | Melissa Nicole Jenson | Registered Nurse | 14 South Main Street, Bagley, MN 56621 | 2008-09-12 |
| 1518116813 | Tammy Rae Hanse | Registered Nurse | 14 South Main Ave, Bagley, MN 56621 | 2008-09-11 |
| 1134392350 | Kimberly Kae Crist | Lodging | 28647 Hwy 92, Bagley, MN 56621 | 2008-04-09 |
| 1952529323 | Clearwater Health Services | Skilled Nursing Facility | 416 7th St Ne, Bagley, MN 56621 | 2007-04-23 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1992875850 | Mary Elizabeth Jones | Dentist | 13 Main Avenue North, Bagley, MN 56621 | 2006-11-08 |
| 1558350678 | Bradley W Neujahr Od Pa | Optometrist | 14 2nd St Ne, Bagley, MN 56621 | 2005-10-20 |
| Find all providers in zip 56621 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033620075 | Amanda Jo Schmit | Pharmacist | 31 Main Ave N, Bagley, MN 56621-8315 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1679172522 | Cari Michelle Labonne | Pharmacist | 4202 Creekwood Pl, Hermantown, MN 55811-3692 | 2020-10-21 |
| 1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1619576626 | Jessica Margaret Dulli | Pharmacist | 5241 Lincoln Dr Apt 204, Edina, MN 55436-2702 | 2020-10-21 |
| 1649879875 | Dale Rudolph | Pharmacist | 320 22nd Ave Ne, Waseca, MN 56093-2670 | 2020-10-19 |
| 1134728520 | Herve Bertrand Kengne Mbakam | Pharmacist | 1800 Windsor Dr S, Shakopee, MN 55379-8073 | 2020-10-18 |
| 1821696402 | Leah Fischer | Pharmacist | 817 11th St N, New Ulm, MN 56073-1374 | 2020-10-15 |
| 1003414780 | Loren Leroy Carver | Pharmacist | 424 3rd St N, Stillwater, MN 55082-4836 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.