Ethan Paul Jezewski

Pharmacist · Nanticoke, PA

Individual Active NPI

NPI number 1922919505

Practice location

1 Weis PLZ
Nanticoke, PA 18634-1618
Phone
(570) 735-2458

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NPI record

NPI
1922919505
Entity type
Individual (Type 1)
Enumeration date
September 14, 2026
Last updated
September 14, 2026
Certified
September 14, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PII003637 PA

Mailing address

805 Mountain Rd
Millerstown, PA 17062-9039

About Ethan Jezewski

Ethan Paul Jezewski is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1 Weis PLZ, Nanticoke, PA 18634-1618. The NPI number 1922919505 was assigned on September 14, 2026 and the record was last updated on September 14, 2026.

Ethan Jezewski lists a license in the registry: #PII003637 (PA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Paul Jezewski?

The NPI number is 1922919505.

What is the phone number of Ethan Jezewski?

The phone number listed for the practice location is (570) 735-2458.

Where is Ethan Jezewski located?

1 Weis PLZ, Nanticoke, PA 18634-1618.

What is the taxonomy code for Ethan Jezewski?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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