KATELYN TIDWELL PHARMD
NPI 1497347496
Pharmacist in Defuniak Springs, FL

Active since February 10, 2021
688 BALDWIN AVE, DEFUNIAK SPRINGS, FL 32435(850) 892-5612 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Tidwell Pharmd NPPES

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

KATELYN TIDWELL PHARMD (NPI 1497347496) is an individual pharmacist in Defuniak Springs, Florida, licensed in Florida (PS43999) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1497347496
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKATELYN TIDWELLCredential: PHARMD
Location Address688 BALDWIN AVEDefuniak Springs, FL 32435-2596
Mailing Address688 Baldwin AveDefuniak Springs, FL 32435-2596 · (850) 892-5612
Sole ProprietorNo
Enumeration DateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
NPI 1497347496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS43999
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.
688 BALDWIN AVE, Defuniak Springs, FL 32435

Other Providers at the Same Location NPPES 3

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

Pharmacist
688 BALDWIN AVE
DEFUNIAK SPRINGS, FL 32435
Pharmacist
688 BALDWIN AVE
DEFUNIAK SPRINGS, FL 32435
Pharmacy (Community/Retail Pharmacy)
688 BALDWIN AVE
DEFUNIAK SPRINGS, FL 32435

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 Katelyn Tidwell's NPI number?

The NPI number for Katelyn Tidwell is 1497347496. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Katelyn Tidwell located?

Katelyn Tidwell practices at 688 Baldwin Ave, Defuniak Springs, FL 32435. The listed phone number is (850) 892-5612.

What is Katelyn 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 Katelyn Tidwell was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.