ETHAN PENNYWITT PHARMD
NPI 1023738077
Pharmacist in Gaylord, MI

Active since August 30, 2022
419 W MAIN ST, GAYLORD, MI 49735(989) 732-5220 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Pennywitt Pharmd NPPES

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

ETHAN PENNYWITT PHARMD (NPI 1023738077) is an individual pharmacist in Gaylord, Michigan, licensed in Michigan (5302414620) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1023738077
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameETHAN PENNYWITTCredential: PHARMD
Location Address419 W MAIN STGaylord, MI 49735-1859
Mailing Address800 Silver Pine Cir Apt 30Gaylord, MI 49735-9804 · (419) 973-5720
Sole ProprietorNo
Enumeration DateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
NPI 1023738077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302414620
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

419 W MAIN ST, Gaylord, MI 49735

Other Providers at the Same Location NPPES 5

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

Pharmacist
419 W MAIN ST
GAYLORD, MI 49735
Pharmacist
419 W MAIN ST
GAYLORD, MI 49735
Pharmacy Technician
419 W MAIN ST
GAYLORD, MI 49735
Pharmacist
419 W MAIN ST
GAYLORD, MI 49735
Pharmacist
419 W MAIN ST
GAYLORD, MI 49735

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 Ethan Pennywitt's NPI number?

The NPI number for Ethan Pennywitt is 1023738077. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Ethan Pennywitt located?

Ethan Pennywitt practices at 419 W Main St, Gaylord, MI 49735. The listed phone number is (989) 732-5220.

What is Ethan Pennywitt's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ethan Pennywitt was last updated on August 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.