DR. ETHAN NATHANIEL MCFADDIN PHARMD
NPI 1386274413
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kenosha, WI
About Dr. Ethan Nathaniel Mcfaddin Pharmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ETHAN NATHANIEL MCFADDIN PHARMD (NPI 1386274413) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Kenosha, Wisconsin, licensed in Wisconsin (20196-40) and active in the NPI registry since January 2020.
NPPES Registry Identity
Specialties & Licenses
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.
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 Mcfaddin's NPI number?
The NPI number for Ethan Mcfaddin is 1386274413. It was assigned to this individual provider in the NPPES registry on January 16, 2020.
Where is Ethan Mcfaddin located?
Ethan Mcfaddin practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-7040.
What is Ethan Mcfaddin's specialty?
The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.
When was this NPI record last updated?
The NPPES record for Ethan Mcfaddin was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Dr. Ethan Nathaniel Mcfaddin, PHARMD · NPI 1386274413
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist provider in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since January 16, 2020.
## Identity
- **NPI:** 1386274413 (Entity type: Individual)
- **Enumerated:** January 16, 2020
- **Primary specialty:** Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · taxonomy 1835P0018X
- **State license:** 20196-40 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 10400 75TH ST, Kenosha, WI 53142-7884
- **Phone:** (262) 948-7040
## Record status
- **NPPES last updated:** September 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386274413) · Data from the CMS NPPES public registry.