MR. CROCKETT TIDWELL RPH
NPI 1013319714
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lubbock, TX

Active since September 24, 2014
4205 98TH ST, LUBBOCK, TX 79423(806) 798-6115(806) 798-6117 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Crockett Tidwell Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CROCKETT TIDWELL RPH (NPI 1013319714) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Lubbock, Texas, licensed in Texas (38448) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1013319714
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMR. CROCKETT TIDWELLCredential: RPH
Location Address4205 98TH STLubbock, TX 79423-3971
Mailing Address4205 98th StLubbock, TX 79423-3971 · (806) 798-6115 · Fax (806) 798-6117
Fax(806) 798-6117
Sole ProprietorNo
Enumeration DateSeptember 24, 2014
NPI 1013319714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in TX · 38448
Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

4205 98TH ST, Lubbock, TX 79423

Other Identifiers 1

Other38448TX · Pharmacy License

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4205 98TH ST
LUBBOCK, TX 79423
Pharmacist
4205 98TH ST
LUBBOCK, TX 79423
Pharmacist
4205 98TH ST
LUBBOCK, TX 79423
Pharmacist
4205 98TH ST
LUBBOCK, TX 79423
Pharmacist
4205 98TH ST
LUBBOCK, TX 79423
Pharmacy (Community/Retail Pharmacy)
4205 98TH ST
LUBBOCK, TX 79423
Pharmacist
4205 98TH ST
LUBBOCK, TX 79423
Pharmacist
4205 98TH ST
LUBBOCK, TX 79423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crockett Tidwell's NPI number?

The NPI number for Crockett Tidwell is 1013319714. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Crockett Tidwell located?

Crockett Tidwell practices at 4205 98th St, Lubbock, TX 79423. The listed phone number is (806) 798-6115.

What is Crockett Tidwell's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Crockett Tidwell was last updated on September 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.