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

Ellsworth P Gast

Individual provider Pharmacist · NPI 1003186073

Ellsworth P Gast is a Pharmacist in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012

Practice location Address checks out

1995 Main St
Green Bay, WI 54302-3920
Phone: (920) 465-6210
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 7587-040 (WI)

Record details

NPI number1003186073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2012
Last updated in NPPESJanuary 9, 2012

Other providers in Green Bay