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Ericksons Diversified LLC

Community/Retail Pharmacy in New Richmond, WI · enumerated 2007 · authorized official Amy Ellis, Director of Pharmacy.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114075488

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Ericksons Diversified LLC
Other name <Unavail>
Practice address 110 W 4th St, New Richmond, WI, 54017
Phone (715) 246-2186
Fax (715) 246-7115
Enumeration date Jan 5, 2007
Last updated in NPPES Oct 31, 2025

Taxonomy & classification

333600000X Pharmacy Suppliers · License 5254 (WI) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Amy Ellis
Title Director of Pharmacy
Phone (616) 878-2848

Other identifiers

Identifier Type State Issuer
5113054 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
33129900 Medicaid WI -

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.

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Frequently asked questions

Where is Ericksons Diversified LLC located?
The practice location on file with NPPES is in New Richmond, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-31. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-31.