Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386274413 Individual Practitioner Male Practitioner

Dr. Ethan Nathaniel Mcfaddin , PharmD

Pharmacist • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Mcfaddin, PharmD is a registered healthcare professional specializing in Pharmacist in Kenosha, WI. Practice services are available at 10400 75TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10400 75th St

Kenosha, WI 531427884

Telephone 2629487040
Associated Practice Facility / Clinic
🏢 Mea-Aea Kenosha Sc Facility NPI 1477546737

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
86 Specialists

Practicing in Kenosha, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-16
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 20196-40

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1336559467
NPI 1457736951

Registered Pharmacist

NPI 1881083145

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2020

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629487040)

📍
Updated Business Mailing Address January 16, 2020

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629487040)

👤
Provider Name / Credentials Updated January 16, 2020

Recorded as ETHAN MCFADDIN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2020

Pharmacist (License #20196-40 in WI)

🟢
Initial NPI Registration & Enumeration January 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386274413
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2020
Last Update: January 16, 2020
Sole Proprietor: No

Mailing Address

10400 75th St

Kenosha, WI 531427884

Phone: 2629487040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.