Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Michael Odineal, PHARMD

Individual provider Pharmacist · NPI 1144824079

Dr. Ethan Michael Odineal, PHARMD is a Pharmacist in Dardenne Prairie, Missouri. Practices as a sole proprietor. Licensed in Illinois, Indiana, Missouri and Tennessee.

Licensed in
IL, IN, MO, TN
In the registry since
2020
Specialties on file
4
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

7909 Hwy N
Dardenne Prairie, MO 63368-7382
Phone: (636) 561-8450
Fax: (636) 561-8450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2022011896 (MO)
Pharmacist Taxonomy 183500000X · Licence 43211 (TN)
Pharmacist Taxonomy 183500000X · Licence 051.304733 (IL)
Pharmacist Taxonomy 183500000X · Licence 26029005A (IN)

Record details

NPI number1144824079
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedNovember 22, 2020
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

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