TIDWELL RX LLC (NPI# 1851661383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851661383 |
| Entity Type | Organization |
| Organization Name | TIDWELL RX LLC |
| Other Organization Name | TIDWELL RX LLC |
| Practice Address |
712 E Tidwell Rd Ste C Houston TX 77022 |
| Mailing Address |
712 E Tidwell Rd Ste C Houston TX 77022-1842 |
| Practice Telephone | 8668527405 |
| Practice Fax Number | 7138848041 |
| Mailing Telephone | 8668527405 |
| Mailing Fax Number | 7138848041 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | JASON GRAMA (OWNER) |
| Authorized Official Telephone | 3478654575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
27603 | TX | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
27603 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149372 | 05 | |
| PK | 2133182 | 01 |
| Other Name | Type Code |
|---|---|
| Tidwell RX LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215210125 | Tidwell Rx LLC | Pharmacy | 712 E Tidwell Rd, Suite C, Houston, TX 77022 | 2011-09-27 |
| Street Address |
712 E TIDWELL RD STE C |
| City | HOUSTON |
| State | TX |
| Zip Code | 77022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568675940 | Rx Pharmacy, Inc | Pharmacist | 712 E Tidwell Rd Ste C, Houston, TX 77022-1842 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418373 | Magnolia 1 House | Nursing Care | 505 E 38th St, Houston, TX 77022 | 2020-02-11 |
| 1720569429 | Loving Care Assisted Living Home | Assisted Living Facility | 8209 N Main St, Houston, TX 77022 | 2018-08-22 |
| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1225407109 | Elsa Murillo | Pharmacy Technician | 4712 Airline Drive, Suite F, Houston, TX 77022 | 2015-09-21 |
| 1215210125 | Tidwell Rx LLC | Pharmacy | 712 E Tidwell Rd, Suite C, Houston, TX 77022 | 2011-09-27 |
| 1184904195 | Victoria Ann Ramirez | Dentist | 4400 North Fwy Spc D500, Houston, TX 77022 | 2011-08-22 |
| 1902116726 | Serrot Inc. | Optometrist | 4412 North Freeway, Houston, TX 77022 | 2010-10-14 |
| 1972811586 | Wal-mart Stores Texas LLC | Technician/Technologist | 4412 N Fwy, Houston, TX 77022 | 2010-09-16 |
| 1922329671 | Hamid S Sohrabian | Chiropractor | 4615 North Frwy . 208, Houston, TX 77022 | 2010-06-17 |
| 1861636896 | Johnnetta Matrice Nichols | Assisted Living Facility | 8209 N. Main St., Houston, TX 77022 | 2009-04-21 |
| Find all providers in zip 77022 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1386256816 | The Queen LLC | Pharmacy | 2600 S Loop W Ste 435a, Houston, TX 77054-2653 | 2020-08-17 |
| Find all providers in HOUSTON | ||||
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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.