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

Glenn Chanitthikul, PHARMD

Individual provider Pharmacist · NPI 1265026728

Glenn Chanitthikul, PHARMD is a Pharmacist in Mishawaka, Indiana. Works from 2 locations. Licensed in Illinois, Indiana, Missouri and Ohio.

Licensed in
IL, IN, MO, OH
In the registry since
2021
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.

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Practice location Address checks out

420 W 4th St
Mishawaka, IN 46544-1948
Phone: (574) 307-7685
Fax: (574) 307-7683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Sturdy Rd, Valparaiso, IN 46383-4126 — (219) 465-9505

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26029067A (IN)
Pharmacist Taxonomy 183500000X · Licence 051302873 (IL)
Pharmacist Taxonomy 183500000X · Licence 03440404 (OH)
Pharmacist Taxonomy 183500000X · Licence 2020033888 (MO)

Record details

NPI number1265026728
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedFebruary 25, 2021
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021
Mailing address420 W 4th St, Mishawaka, IN 46544-1948

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