DR. ETHAN ALEXANDER STULTS PHARMD
NPI 1568087864
Pharmacist in Maryville, TN

Q: What is Ethan Stults's NPI number?

The NPI number for Ethan Stults is 1568087864. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Q: What is Ethan Stults's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Stults was last updated on June 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2020

220 FOOTHILLS MALL DR, MARYVILLE, TN 37801(865) 379-7899 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Ethan Alexander Stults Pharmd NPPES

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

DR. ETHAN ALEXANDER STULTS PHARMD (NPI 1568087864) is an individual pharmacist in Maryville, Tennessee, licensed in Tennessee (44153) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1568087864

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. ETHAN ALEXANDER STULTSCredential: PHARMD

Location Address220 FOOTHILLS MALL DRMaryville, TN 37801-5516

Mailing Address1301 Splendid Oak WayKnoxville, TN 37931-4807 · (423) 912-6593

Phone(865) 379-7899

Sole ProprietorNo

Enumeration DateJune 11, 2020

NPPES CertifiedJune 11, 2020

✔ NPI 1568087864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in TN · 44153

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.

220 FOOTHILLS MALL DR, Maryville, TN 37801

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