Ericksons Diversified LLC
Ericksons Diversified LLC is a healthcare organization registered as Community/Retail Pharmacy in Saint Peter, MN, holding Type 2 (organization) NPI 1952459224 since 2007. The authorized official on file is Amy Ellis, Director of Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1952459224 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ericksons Diversified LLC |
| Other name | <Unavail> |
| Practice address | 612 S MINNESOTA AVE, Saint Peter, MN, 56082 |
| Phone | 5079315540 |
| Fax | 5079319028 |
| 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 | 2008521 | MN |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342358100 | Medicaid | MN | — |
| 2408753 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Ericksons Diversified LLC NPI: 1952459224 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 612 S MINNESOTA AVE, Saint Peter, MN, 56082
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023178738 | Timothy Peterson | Individual | Pharmacist | Saint Peter, MN |
| 1962153247 | Jamie Machtemes | Individual | Pharmacist | Saint Peter, MN |
Verify this record
Cross-check NPI 1952459224 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
Where is Ericksons Diversified LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-29.