IndividualActive
Ethan Vandersand
NPI 1316297088 · Pharmacist · Jerseyville, IL
Ethan Vandersand is a Pharmacist provider in Jerseyville, IL (NPI 1316297088).
Provider details
- NPI number
- 1316297088
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 051-289033 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
400a W Carpenter St
Jerseyville, IL 62052-2522
Phone: (618) 498-6461
Street-level locationGet directions
Mailing address
Rr 1 Box 128
White Hall, IL 62092-9713
Registry dates
- Enumerated
- 2012-09-10
- Last updated
- 2012-09-10
Frequently asked questions
- What is Ethan Vandersand's NPI number?
- Ethan Vandersand's National Provider Identifier (NPI) is 1316297088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Vandersand's specialty?
- Ethan Vandersand is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Ethan Vandersand located?
- Ethan Vandersand's practice location on file with NPPES is 400a W Carpenter St, Jerseyville, IL 62052-2522.
- What is Ethan Vandersand's phone number?
- The practice phone number listed in the NPPES registry for Ethan Vandersand is (618) 498-6461.
- Is Ethan Vandersand's NPI active?
- Yes — Ethan Vandersand's NPI (1316297088) is active in the NPPES registry as of the last update on 2012-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.