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

Mr. Dequan M Gaddis Jr., CPHT

Individual provider Pharmacy Technician · NPI 1922927334

Mr. Dequan M Gaddis Jr., CPHT is a Pharmacy Technician in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

1810 30th Ave
Kenosha, WI 53144-1437
Phone: (262) 551-8812
Show map & directions

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

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 234598-41 (WI)

Record details

NPI number1922927334
Entity typeIndividual (Type 1)
GenderMale
Credentials CPHT
Sole proprietorNo
NPI enumeratedJuly 11, 2026
Last updated in NPPESJuly 11, 2026
Certification dateJuly 11, 2026