Ericksons Diversified LLC
Ericksons Diversified LLC is a healthcare organization registered as Community/Retail Pharmacy in Northfield, MN, holding Type 2 (organization) NPI 1043368319 since 2007. The authorized official on file is Amy Ellis, Director of Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043368319 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ericksons Diversified LLC |
| Other name | <Unavail> |
| Practice address | 603 DIVISION ST S, Northfield, MN, 55057 |
| Phone | 5076454489 |
| Fax | 5076631006 |
| Enumeration date | 2007-01-05 |
| Last updated in NPPES | 2025-10-29 |
Authorized official
| Name | Amy Ellis |
|---|---|
| Title | Director of Pharmacy |
| Phone | 6168782848 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 951060500 | Medicaid | MN | — |
Copy-ready billing details
Provider: Ericksons Diversified LLC NPI: 1043368319 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 603 DIVISION ST S, Northfield, MN, 55057
Verify this record
Cross-check NPI 1043368319 against the authoritative CMS record: view Ericksons Diversified LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Ericksons Diversified LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-29.