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Ericksons Diversified LLC

Ericksons Diversified LLC is a healthcare organization registered as Community/Retail Pharmacy in Litchfield, MN, holding Type 2 (organization) NPI 1134277403 since 2007. The authorized official on file is Amy Ellis, Director of Pharmacy.

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NPI 1134277403
Entity type Organization (Type 2)
Legal business name Ericksons Diversified LLC
Other name <Unavail>
Practice address 951 E FRONTAGE RD, Litchfield, MN, 55355
Phone 3206933261
Fax 3205933264
Enumeration date 2007-01-05
Last updated in NPPES 2026-01-22

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 2611413 MN

Other identifiers

Identifier Type State Issuer
666717100 Medicaid MN
Copy-ready billing details
Provider: Ericksons Diversified LLC
NPI: 1134277403
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 951 E FRONTAGE RD, Litchfield, MN, 55355

Providers at this address

NPI Name Type Specialty Location
1487958864 Bradley Teske Individual Pharmacotherapy Pharmacist Litchfield, MN
1871158576 Terra Hoffman Individual Pharmacist Litchfield, MN

Verify this record

Cross-check NPI 1134277403 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?
Ericksons Diversified LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-22.