ERICKSONS DIVERSIFIED LLC
NPI 1952459224
Pharmacy - Community/Retail Pharmacy in Saint Peter, MN

Q: What is Ericksons Diversified LLC's NPI number?

The NPI number for Ericksons Diversified LLC is 1952459224. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is doing business as Family Fresh Market Pharmacy.

Q: What is Ericksons Diversified LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since January 05, 2007

612 S MINNESOTA AVE, SAINT PETER, MN 56082(507) 931-5540(507) 931-9028 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 7, 2023, Aug 26, 2019 (2 updates tracked since 2019).

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About Ericksons Diversified Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICKSONS DIVERSIFIED LLC (NPI 1952459224), doing business as Family Fresh Market Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Saint Peter, Minnesota and active in the NPI registry since January 2007. The organization lists Amy Ellis, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1952459224

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameERICKSONS DIVERSIFIED LLC

Location Address612 S MINNESOTA AVESaint Peter, MN 56082-2100

Mailing Address1527 Momentum PlChicago, IL 60689-5315

Phone(507) 931-5540

Fax(507) 931-9028

Organization SubpartNo

Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848

Enumeration DateJanuary 5, 2007

Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration

NPPES CertifiedOctober 29, 2025

✔ NPI 1952459224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X · License 2008521 (MN)

612 S MINNESOTA AVE, Saint Peter, MN 56082

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Other Names 1

Doing Business AsFamily Fresh Market Pharmacy

Other Identifiers 2

Medicaid342358100MN

Other2408753Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMIE LYNN MACHTEMES

Pharmacist

612 S MINNESOTA AVE
SAINT PETER, MN 56082

Nicollet County (507) 931-5540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ericksons Diversified LLC's NPI number?

The NPI number for Ericksons Diversified LLC is 1952459224. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is doing business as Family Fresh Market Pharmacy.

Where is Ericksons Diversified LLC located?

Ericksons Diversified LLC is located at 612 S Minnesota Ave, Saint Peter, MN 56082. The listed phone number is (507) 931-5540.

What is Ericksons Diversified LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Ericksons Diversified LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Ericksons Diversified LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ericksons Diversified LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.