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DEREK MADISON ETHRIDGE RPH
NPI 1700478575
Pharmacist in Lytle, TX

Active since February 03, 2021
19450 MCDONALD ST STE 102, LYTLE, TX 78052(830) 988-0100(830) 988-0111 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Madison Ethridge Rph NPPES

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

DEREK MADISON ETHRIDGE RPH (NPI 1700478575) is an individual pharmacist in Lytle, Texas, licensed in Texas (30227) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1700478575
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDEREK MADISON ETHRIDGECredential: RPH
Location Address19450 MCDONALD ST STE 102Lytle, TX 78052-3649
Mailing Address1757 Sunflower BlfNew Braunfels, TX 78130-1958 · (210) 364-4441
Phone(830) 988-0100
Fax(830) 988-0111
Sole ProprietorNo
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1700478575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 30227
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.
19450 MCDONALD ST STE 102, Lytle, TX 78052
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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 Derek Ethridge's NPI number?

The NPI number for Derek Ethridge is 1700478575. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Derek Ethridge located?

Derek Ethridge practices at 19450 Mcdonald St Ste 102, Lytle, TX 78052. The listed phone number is (830) 988-0100.

What is Derek Ethridge'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 Derek Ethridge was last updated on February 3, 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.