Ericksons Diversified LLC
Ericksons Diversified LLC is a healthcare organization registered as Community/Retail Pharmacy in Red Wing, MN, holding Type 2 (organization) NPI 1194873000 since 2007. The authorized official on file is Amy Ellis, Director of Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194873000 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ericksons Diversified LLC |
| Other name | <Unavail> |
| Practice address | 623 MAIN ST, Red Wing, MN, 55066 |
| Phone | 6513883589 |
| Fax | 6513859394 |
| Enumeration date | 2007-01-08 |
| 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 | 2004716 | MN |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331758700 | Medicaid | MN | — |
Copy-ready billing details
Provider: Ericksons Diversified LLC NPI: 1194873000 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 623 MAIN ST, Red Wing, MN, 55066
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134725716 | Rebecca Millard | Individual | Pharmacist | Red Wing, MN |
| 1669201679 | Michelle Schimbeno | Individual | Pharmacist | Red Wing, MN |
Verify this record
Cross-check NPI 1194873000 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 is the NPI number for Ericksons Diversified LLC?
Who is the authorized official for Ericksons Diversified LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-22.