Tabitha Marie Tidwell, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

36577 Issued in TN

Practice address

7100 Hopgood Rd
Fairview, TN 37062-1414

Phone

(615) 387-7023

Fax

(615) 387-7024

NPI assigned

Apr 1, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Fairview, TN
  • NPI 1063849875
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522540800000",
    "number": "1164928057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 HOPGOOD RD",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370621414",
            "telephone_number": "615-387-7023",
            "fax_number": "615-387-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 HOPGOOD RD",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370621414",
            "telephone_number": "615-387-7023",
            "fax_number": "615-387-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "TABITHA",
        "middle_name": "MARIE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-01",
        "last_updated": "2018-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "36577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Gaskins Stewart, A.T.C
• Lewis Stubbs Jr., RN
• Erin Danielle Thayer, FNP-C
• The Pearl at Fairview, LLC
• Kristina D Thornberry, NP-C
• Tree of Life Medical and Counseling Center
• Tucker Pharmacy, LLC
• Morgan Tucker, PHARMD
• Joseph Thomas Valletti, LMFT
• Vibe Dental of Fairview

• Pharmacist in Fairview, TN
• Providers in Fairview, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.