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DR. DAVALYN SANAYE TIDWELL PHARM D
NPI 1962605014
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Moreno Valley, CA

Active since June 07, 2007
26520 CACTUS AVE, MORENO VALLEY, CA 92555(951) 486-4529 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Davalyn Sanaye Tidwell Pharm D NPPES

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

DR. DAVALYN SANAYE TIDWELL PHARM D (NPI 1962605014) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Moreno Valley, California, licensed in California (61216) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1962605014
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. DAVALYN SANAYE TIDWELLCredential: PHARM D
Location Address26520 CACTUS AVEMoreno Valley, CA 92555-3927
Mailing Address2425 N Brighton StBurbank, CA 91504-2612 · (818) 792-3093
Phone(951) 486-4529
Sole ProprietorNo
Enumeration DateJune 7, 2007
Last NPPES UpdateJuly 7, 2009
✔ NPI 1962605014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in CA · 61216
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
26520 CACTUS AVE, Moreno Valley, CA 92555
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Other Providers at the Same Location NPPES 20

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

MARINA BOYARSKY M.D.
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE, FAMILY MEDICINE RESIDENCY PROGRAM
MORENO VALLEY, CA 92555
Riverside County (951) 486-5611
DR. THU KIEU NGUYEN HUYNH PHARM.D.
Pharmacist
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4613
ASHA PATEL RAJ DO
Family Medicine
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (714) 904-8341
COUNTY OF RIVERSIDE
Clinic/Center (Primary Care)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
MERETT W SAAD DO
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
GRACE SHINN
Pharmacist (Emergency Medicine)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
NOLAN S LANGFORD
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-5434
DR. MY NGUYEN D.O.
Pediatrics
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000

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 Davalyn Tidwell's NPI number?

The NPI number for Davalyn Tidwell is 1962605014. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Davalyn Tidwell located?

Davalyn Tidwell practices at 26520 Cactus Ave, Moreno Valley, CA 92555. The listed phone number is (951) 486-4529.

What is Davalyn Tidwell's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Davalyn Tidwell was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.