TABITHA MARIE TIDWELL (NPI# 1164928057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164928057 |
| Entity Type | Individual |
| Full Name | TABITHA MARIE TIDWELL |
| Credential | PHARM D |
| Practice Address |
7100 Hopgood Rd Fairview TN 37062-1414 |
| Practice Telephone | 6153877023 |
| Practice Fax Number | 6153877024 |
| Mailing Telephone | 6153877023 |
| Mailing Fax Number | 6153877024 |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2018-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36577 | TN | Pharmacy Service Providers |
| Street Address |
7100 HOPGOOD RD |
| City | FAIRVIEW |
| State | TN |
| Zip Code | 37062-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063849875 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7100 Hopgood Rd, Fairview, TN 37062 | 2013-10-11 |
| 1144723651 | Christine Golla | Pharmacist | 7100 Hopgood Rd, Fairview, TN 37062-1414 | 2018-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1730680414 | Kjk LLC | Pharmacy | 2340 Fairview Blvd. Suite 300, Fairview, TN 37062 | 2018-02-27 |
| 1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
| 1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
| 1710230628 | Phillip Owens | Counselor | 7200 Cumberland Dr, Fairview, TN 37062 | 2012-10-17 |
| 1013290899 | Zachary Neal Alexander | Counselor | 2595 Fairview Blvd, Fairview, TN 37062 | 2011-09-27 |
| 1750608113 | Savita Leanne Fanta | Internal Medicine | 2340 Fairview Blvd Ste 600d, Fairview, TN 37062 | 2010-04-26 |
| 1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| 1386664217 | Shahla S Azhdari | Dentist | 2280 Fairview Blvd, Fairview, TN 37062 | 2006-07-21 |
| Find all providers in zip 37062 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679024822 | Austin Avrett | Pharmacist | 1185 Charlotte Hwy, Suite L, Fairview, NC 28730-7782 | 2016-10-21 |
| 1346624194 | Md Plus, LLC | Pharmacist | 16 Wild Iris Ln, Fairview, NC 28730-8763 | 2015-07-10 |
| 1902230576 | Janney Han | Pharmacist | 105b 6th St, Fairview, NJ 07022-1954 | 2013-08-30 |
| 1629327929 | Frank Michael Sovec | Pharmacist | 6090 Bridlewood Dr, Fairview, PA 16415-2709 | 2012-08-31 |
| 1144507492 | Oliver Gary Lackey | Pharmacist | 624 N Main St, Fairview, OK 73737 | 2011-11-14 |
| 1902131899 | Robert Milnes II | Pharmacist | 785 Gunton Dr, Fairview, PA 16415-1418 | 2009-10-09 |
| 1942408307 | Carlton John Shea | Pharmacist | 7215 Springside Dr, Fairview, PA 16415-1547 | 2007-07-06 |
| 1912051954 | Barbara Diane Danielson | Pharmacist | 304 S. Ellery, Fairview, MT 59221 | 2007-01-23 |
| 1649361403 | Charles C. Nimmo | Pharmacist | 210 E State Rd, Fairview, OK 73737-1326 | 2006-09-27 |
| 1598773996 | James Marshal Anderson Jr. | Pharmacist | 2243 Fairview Blvd, Fairview, TN 37062-9070 | 2006-08-03 |
| Find all providers in FAIRVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.