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

Individual provider Pharmacist · NPI 1386274413

Dr. Ethan Nathaniel McFaddin, PHARMD is a Pharmacist in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-7040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 20196-40 (WI)

Record details

NPI number1386274413
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJanuary 16, 2020
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020
Mailing address10400 75th St, Kenosha, WI 53142-7884

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