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

Ethan Pennywitt, PHARMD

Individual provider Pharmacist · NPI 1023738077

Ethan Pennywitt, PHARMD is a Pharmacist in Gaylord, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
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

419 W Main St
Gaylord, MI 49735-1859
Phone: (989) 732-5220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302414620 (MI)

Record details

NPI number1023738077
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address800 Silver Pine Cir Apt 30, Gaylord, MI 49735-9804

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