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CHARLES M TIDWELL
NPI 1518338722
Pharmacist in Riverside, CA

Active since October 14, 2015
3975 JACKSON ST STE 111, RIVERSIDE, CA 92503(951) 637-7054(951) 637-7056 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Charles M Tidwell NPPES

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

CHARLES M TIDWELL (NPI 1518338722) is a healthcare organization registered as a pharmacist in Riverside, California and active in the NPI registry since October 2015. The organization lists Charles Michael Tidwell, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1518338722
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameCHARLES M TIDWELL
Location Address3975 JACKSON ST STE 111Riverside, CA 92503-3946
Mailing Address3975 Jackson St Ste 111Riverside, CA 92503-3946 · (951) 637-7054 · Fax (951) 637-7056
Phone(951) 637-7054
Fax(951) 637-7056
Organization SubpartNo
Authorized OfficialCharles Michael TidwellPharmacist · (951) 637-7054
Enumeration DateOctober 14, 2015
✔ NPI 1518338722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 38762
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.
3975 JACKSON ST STE 111, Riverside, CA 92503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PARKVIEW MEDICAL PLAZA PHARMACY LTC
Pharmacy (Long Term Care Pharmacy)
3975 JACKSON ST STE 111
RIVERSIDE, CA 92503
Riverside County (951) 637-7054

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 Charles M Tidwell's NPI number?

The NPI number for Charles M Tidwell is 1518338722. It was assigned to this organization in the NPPES registry on October 14, 2015.

Where is Charles M Tidwell located?

Charles M Tidwell is located at 3975 Jackson St Ste 111, Riverside, CA 92503. The listed phone number is (951) 637-7054.

What is Charles M 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 Charles M Tidwell was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.