HOLLY ANN ERICKSON (NPI# 1609121821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609121821 |
| Entity Type | Individual |
| Full Name | HOLLY ANN ERICKSON |
| Credential | PHARM. D. |
| Practice Address |
1100 13th Ave E West Fargo ND 58078-3376 |
| Practice Telephone | 7012815695 |
| Practice Fax Number | 7012814804 |
| Mailing Telephone | 7012815695 |
| Mailing Fax Number | 7012814804 |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2012-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4959 | ND | Pharmacy Service Providers |
| Street Address |
1100 13TH AVE E |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033208640 | White Drug Co of Jamestown Inc | Pharmacy | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2006-10-12 |
| 1164072716 | Deidre Marie Kilde | Registered Nurse | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2019-09-16 |
| 1295201531 | Haley Jo Vargas | Registered Nurse | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2018-10-14 |
| 1619450806 | Lisa Anne Schroeder | Registered Nurse | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2018-09-13 |
| 1700369964 | Beth Marie Erickson | Registered Nurse | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2018-09-12 |
| 1841773017 | Joann Mavis Schacher | Registered Nurse | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2018-09-12 |
| 1972086353 | Tracy Price | Registered Nurse | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2018-09-11 |
| 1659770501 | Lisa Odegaard | Pharmacist | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2014-08-16 |
| 1265719397 | Danielle Nelson | Pharmacist | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| 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 |
|---|---|---|---|---|
| 1346530813 | Steve Kawulok | Pharmacist | 750 23rd Ave E, West Fargo, ND 58078-7804 | 2011-04-18 |
| 1386800209 | Heidi N Eukel | Pharmacist | 3306 Sheyenne St Ste 218, West Fargo, ND 58078-7211 | 2008-07-30 |
| 1023290574 | Jayme A Steig | Pharmacist | 3306 Sheyenne St, Suite 218, West Fargo, ND 58078 | 2007-11-27 |
| 1558847400 | Alex Yang Petterson | Pharmacist | 750 23rd Ave E, West Fargo, ND 58078-7804 | 2018-07-13 |
| 1659770501 | Lisa Odegaard | Pharmacist | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2014-08-16 |
| 1326312893 | Karl Allen Krenz | Pharmacist | 550 13th Ave E, West Fargo, ND 58078-3360 | 2012-03-01 |
| 1265719397 | Danielle Nelson | Pharmacist | 1100 13th Ave E, West Fargo, ND 58078-3376 | 2011-11-03 |
| 1619258167 | Brianne Jean Wilcox | Pharmacist | 550 13th Ave E, West Fargo, ND 58078-3360 | 2011-08-29 |
| 1275843666 | Susan Lynn Brenan | Pharmacist | 550 13th Ave E, West Fargo, ND 58078-3360 | 2010-10-19 |
| 1104136837 | Stephen James Syverson | Pharmacist | 550 13th Ave E, West Fargo, ND 58078-3360 | 2010-10-15 |
| Find all providers in WEST FARGO | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
Please comment or provide details below to improve the information on HOLLY ANN ERICKSON.
| 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.