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DR. ETHAN A. CARRUTHERS PHARMD
NPI 1871860965
Pharmacist in Waupun, WI

Active since November 17, 2011
999 E MAIN ST, WAUPUN, WI 53963(920) 324-4696(920) 324-4910 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ethan A. Carruthers Pharmd NPPES

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

DR. ETHAN A. CARRUTHERS PHARMD (NPI 1871860965) is an individual pharmacist in Waupun, Wisconsin, licensed in Wisconsin (16049-40) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1871860965
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. ETHAN A. CARRUTHERSCredential: PHARMD
Location Address999 E MAIN STWaupun, WI 53963-2210
Mailing Address626 E State St, Apt 304Milwaukee, WI 53202-3247 · (414) 759-2116
Phone(920) 324-4696
Fax(920) 324-4910
Sole ProprietorYes
Enumeration DateNovember 17, 2011
✔ NPI 1871860965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 16049-40
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.
999 E MAIN ST, Waupun, WI 53963
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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.

WALGREEN CO
Pharmacy
999 E MAIN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-4696
DR. DARIO SAVIC PHARMD
Pharmacist
999 E MAIN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-4696
DALE A WSZALEK
Pharmacist
999 E MAIN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-4696
SAMANTHA LYNN LENZENDORF
Pharmacist
999 E MAIN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-4696
ALANNAH L WALLSTEN PHARMD
Pharmacist
999 E MAIN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-4696

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 Carruthers's NPI number?

The NPI number for Ethan Carruthers is 1871860965. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Where is Ethan Carruthers located?

Ethan Carruthers practices at 999 E Main St, Waupun, WI 53963. The listed phone number is (920) 324-4696.

What is Ethan Carruthers'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 Carruthers was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.