OrganizationActive
Ericksons Diversified LLC
NPI 1194873000 · Community/Retail Pharmacy · Red Wing, MN
Ericksons Diversified LLC is a Community/Retail Pharmacy organization in Red Wing, MN (NPI 1194873000).
Provider details
- NPI number
- 1194873000
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amy Ellis, Director of Pharmacy(616) 878-2848
- License
- 2004716 (MN)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
623 Main St
Red Wing, MN 55066-2249
Phone: (651) 388-3589
Fax: (651) 385-9394
Street-level locationGet directions
Mailing address
1527 Momentum Pl
Chicago, IL 60689-5315
Other names (DBA / former)
- Doing business as
- Econofoods Pharmacy
- Doing business as
- Econofoods Pharmacy
- Doing business as
- Family Fare Pharmacy 3328
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Frequently asked questions
- What is Ericksons Diversified LLC's NPI number?
- Ericksons Diversified LLC's National Provider Identifier (NPI) is 1194873000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ericksons Diversified LLC?
- Ericksons Diversified LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Ericksons Diversified LLC located?
- Ericksons Diversified LLC's practice location on file with NPPES is 623 Main St, Red Wing, MN 55066-2249.
- What is Ericksons Diversified LLC's phone number?
- The practice phone number listed in the NPPES registry for Ericksons Diversified LLC is (651) 388-3589.
- Who is the authorized official for Ericksons Diversified LLC?
- The authorized official listed on Ericksons Diversified LLC's NPPES record is Amy Ellis, Director of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ericksons Diversified LLC's NPI active?
- Yes — Ericksons Diversified LLC's NPI (1194873000) is active in the NPPES registry as of the last update on 2026-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.