NICHOLAS TIDWELL PHARM.D
NPI 1891243465
Pharmacist in Lake Mary, FL

Q: What is Nicholas Tidwell's NPI number?

The NPI number for Nicholas Tidwell is 1891243465. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Q: What is Nicholas Tidwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Tidwell was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 13, 2016

1521 OBERLIN TER, LAKE MARY, FL 32746(321) 274-7830 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas Tidwell Pharm.d NPPES

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

NICHOLAS TIDWELL PHARM.D (NPI 1891243465) is an individual pharmacist in Lake Mary, Florida, licensed in Florida (PS55365) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1891243465

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameNICHOLAS TIDWELLCredential: PHARM.D

Location Address1521 OBERLIN TERLake Mary, FL 32746-5937

Mailing Address1521 Oberlin TerLake Mary, FL 32746-5937 · (321) 274-7830

Phone(321) 274-7830

Sole ProprietorYes

Enumeration DateSeptember 13, 2016

✔ NPI 1891243465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in FL · PS55365

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.

1521 OBERLIN TER, Lake Mary, FL 32746

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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 Nicholas Tidwell's NPI number?

The NPI number for Nicholas Tidwell is 1891243465. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Where is Nicholas Tidwell located?

Nicholas Tidwell practices at 1521 Oberlin Ter, Lake Mary, FL 32746. The listed phone number is (321) 274-7830.

What is Nicholas 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 Nicholas Tidwell was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.