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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. DEQUAN M GADDIS JR. CPHT
NPI 1922927334
Pharmacy Technician in Kenosha, WI

Active since July 11, 2026
1810 30TH AVE, KENOSHA, WI 53144(262) 551-8812 Get Directions Write a Review

NPPES record added: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Dequan M Gaddis Jr. Cpht NPPES

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

MR. DEQUAN M GADDIS JR. CPHT (NPI 1922927334) is an individual pharmacy technician in Kenosha, Wisconsin, licensed in Wisconsin (234598-41) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1922927334
Entity TypeIndividualMale
Primary Taxonomy183700000X
Provider Legal NameMR. DEQUAN M GADDIS JR.Credential: CPHT
Location Address1810 30TH AVEKenosha, WI 53144-1437
Mailing Address1810 30th AveKenosha, WI 53144-1437 · (262) 551-8812
Phone(262) 551-8812
Sole ProprietorNo
Enumeration DateJuly 11, 2026
NPPES CertifiedJuly 11, 2026
✔ NPI 1922927334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in WI · 234598-41
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
1810 30TH AVE, Kenosha, WI 53144
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Other Providers at the Same Location NPPES 6

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

WALGREEN CO
Pharmacy
1810 30TH AVE
KENOSHA, WI 53144
Kenosha County (262) 551-8812
SAMANTHA RAE DEBARTOLO
Pharmacist
1810 30TH AVE
KENOSHA, WI 53144
Kenosha County (262) 551-8812
FARAH S VIRANI
Pharmacist
1810 30TH AVE
KENOSHA, WI 53144
Kenosha County (262) 551-8812
PATRICK HANNA
Pharmacist
1810 30TH AVE
KENOSHA, WI 53144
Kenosha County (262) 551-8812
LOUIS FERRARO
Pharmacist
1810 30TH AVE
KENOSHA, WI 53144
Kenosha County (262) 551-8812
ROSEMARY GALLO
Pharmacist
1810 30TH AVE
KENOSHA, WI 53144
Kenosha County (262) 551-8812

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 Dequan Gaddis's NPI number?

The NPI number for Dequan Gaddis is 1922927334. It was assigned to this individual provider in the NPPES registry on July 11, 2026.

Where is Dequan Gaddis located?

Dequan Gaddis practices at 1810 30th Ave, Kenosha, WI 53144. The listed phone number is (262) 551-8812.

What is Dequan Gaddis's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Dequan Gaddis was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.