Individual provider · Type 1 NPI

Ethan Sproul

Pharmacist · Schenectady, NY

NPI number 1104798081 Active

Practice location

461 Nott St
Schenectady, NY 12308-1812

Mailing address

42 Hollandale Ln Apt J
Clifton Park, NY 12065-8218

Other practice locations

  • 90 Center Rd, Essex Junction, VT 05452-2658 · (802) 878-5163

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X033.0135806 (VT)

Pharmacist: 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…

29 other providers at this address

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About NPI 1104798081

Ethan Sproul's National Provider Identifier is 1104798081, issued on Sep 20, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Schenectady, NY. The record was last updated on Sep 20, 2025.