DR. MYKEL LINN TIDWELL PHARMD
NPI 1063782399
Pharmacist in Mayfield, KY

Active since January 04, 2012
1520 CUBA RD, MAYFIELD, KY 42066(270) 705-1141 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mykel Linn Tidwell Pharmd NPPES

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

DR. MYKEL LINN TIDWELL PHARMD (NPI 1063782399) is an individual pharmacist in Mayfield, Kentucky, licensed in Kentucky (015489) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1063782399
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. MYKEL LINN TIDWELLCredential: PHARMD
Location Address1520 CUBA RDMayfield, KY 42066-6809
Mailing Address66 Lake Terry DrMayfield, KY 42066-6982 · (270) 705-1141
Sole ProprietorYes
Enumeration DateJanuary 4, 2012
Last NPPES UpdateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
NPI 1063782399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in KY · 015489
Definition
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.
1520 CUBA RD, Mayfield, KY 42066

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
1520 CUBA RD
MAYFIELD, KY 42066
Pharmacy (Community/Retail Pharmacy)
1520 CUBA RD
MAYFIELD, KY 42066

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 Mykel Tidwell's NPI number?

The NPI number for Mykel Tidwell is 1063782399. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Where is Mykel Tidwell located?

Mykel Tidwell practices at 1520 Cuba Rd, Mayfield, KY 42066. The listed phone number is (270) 705-1141.

What is Mykel Tidwell's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mykel Tidwell was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.