GLENN CHANITTHIKUL PHARMD
NPI 1265026728
Pharmacist in Mishawaka, IN

Active since February 25, 2021
420 W 4TH ST, MISHAWAKA, IN 46544(574) 307-7685(574) 307-7683 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Glenn Chanitthikul Pharmd NPPES

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

GLENN CHANITTHIKUL PHARMD (NPI 1265026728) is an individual pharmacist in Mishawaka, Indiana, licensed in Indiana (26029067A) and active in the NPI registry since February 2021. He maintains a secondary practice location in Valparaiso.

NPPES Registry Identity

NPI1265026728
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameGLENN CHANITTHIKULCredential: PHARMD
Location Address420 W 4TH STMishawaka, IN 46544-1948
Mailing Address420 W 4th StMishawaka, IN 46544-1948 · (574) 307-7685 · Fax (574) 307-7683
Fax(574) 307-7683
Sole ProprietorNo
Enumeration DateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
NPI 1265026728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in IN · 26029067A Licensed in IL · 051302873 Licensed in OH · 03440404 Licensed in MO · 2020033888
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.

420 W 4TH ST, Mishawaka, IN 46544

Secondary Practice Location 1

Location 11001 Sturdy RdValparaiso, IN 46383-4126 · Phone (219) 465-9505 · Fax (219) 465-9519

Other Providers at the Same Location NPPES 20

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

Family Medicine
420 W 4TH ST, SUITE 180
MISHAWAKA, IN 46544
Advanced Practice Midwife
420 W 4TH ST
MISHAWAKA, IN 46544
Advanced Practice Midwife
420 W 4TH ST, SUITE 100
MISHAWAKA, IN 46544
Registered Nurse (Case Management)
420 W 4TH ST, SUITE 100-A
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
Registered Nurse
420 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
Family Medicine
420 W 4TH ST
MISHAWAKA, IN 46544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265026728, enumerated as an "individual" on February 25, 2021.

The provider is located at 420 W 4TH ST MISHAWAKA, IN 46544 and the phone number is (574) 307-7685.

Pharmacist with taxonomy code 183500000X.