IndividualActive
Ethan Carruthers, PHARMD
NPI 1871860965 · Pharmacist · Waupun, WI
Provider details
- NPI number
- 1871860965
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16049-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
999 E Main St
Waupun, WI 53963-2210
Phone: (920) 324-4696
Fax: (920) 324-4910
Street-level locationGet directions
Mailing address
626 E State St
Milwaukee, WI 53202-3247
Registry dates
- Enumerated
- 2011-11-17
- Last updated
- 2011-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.