IndividualActive
Ethan Pennywitt, PHARMD
NPI 1023738077 · Pharmacist · Gaylord, MI
Ethan Pennywitt, PHARMD is a Pharmacist provider in Gaylord, MI (NPI 1023738077).
Provider details
- NPI number
- 1023738077
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 5302414620 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
419 W Main St
Gaylord, MI 49735-1859
Phone: (989) 732-5220
Street-level locationGet directions
Mailing address
800 Silver Pine Cir Apt 30
Gaylord, MI 49735-9804
Registry dates
- Enumerated
- 2022-08-30
- Last updated
- 2022-08-30
- Certified
- 2022-08-30
Frequently asked questions
- What is Ethan Pennywitt's NPI number?
- Ethan Pennywitt's National Provider Identifier (NPI) is 1023738077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Pennywitt's specialty?
- Ethan Pennywitt is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Ethan Pennywitt located?
- Ethan Pennywitt's practice location on file with NPPES is 419 W Main St, Gaylord, MI 49735-1859.
- What is Ethan Pennywitt's phone number?
- The practice phone number listed in the NPPES registry for Ethan Pennywitt is (989) 732-5220.
- Is Ethan Pennywitt's NPI active?
- Yes — Ethan Pennywitt's NPI (1023738077) is active in the NPPES registry as of the last update on 2022-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.