Ethan Paul Jezewski

Primary specialty

PharmacistTaxonomy code 183500000X

License

PII003637 Issued in PA

Practice address

1 Weis PLZ
Nanticoke, PA 18634-1618

Phone

(570) 735-2458

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1922919505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MOUNTAIN RD",
            "city": "MILLERSTOWN",
            "state": "PA",
            "postal_code": "170629039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEIS PLZ",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341618",
            "telephone_number": "570-735-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEZEWSKI",
        "first_name": "ETHAN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PII003637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Houston, MS OTR/L
• Jacob Luke Hummel, PA-C
• Intermed Physicians Inc
• J.T. Huang, M.D. P.C
• Janusz Wolanin MD
• Bethany Lyn Jones, O.D.
• Gina Jorgensen, MSPT
• Jurta Lapinski Associates PC
• John Peter Jurta, DPM
• Janine Kelley, NCC

• Pharmacist in Nanticoke, PA
• Providers in Nanticoke, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.