CHRISTY VAUGHN TIDMORE (NPI# 1053580001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053580001 |
| Entity Type | Individual |
| Full Name | CHRISTY VAUGHN TIDMORE |
| Credential | PHARMD |
| Practice Address |
911 Fairfax Park Tuscaloosa AL 35406-2805 |
| Practice Telephone | 2053913636 |
| Practice Fax Number | 2053437198 |
| Mailing Telephone | 2053913636 |
| Mailing Fax Number | 2053437198 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
13641 | AL | Pharmacy Service Providers |
| Street Address |
911 FAIRFAX PARK |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35406-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063401586 | Calvin Weldon Stephens | Pharmacist | 911 Fairfax Park, Tuscaloosa, AL 35406-2805 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757735 | Susan Tingle Mills | Counselor | 1470 Northbank Parkway, Tuscaloosa, AL 35406 | 2020-03-30 |
| 1508416314 | Carehere LLC | Family Medicine | Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 | 2019-09-13 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1891144259 | Gregory Chad Green, Od, PC | Optometrist | 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 | 2016-06-07 |
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1144520487 | Ladonna Demetrice Snider | Registered Nurse | 825 Rice Mine Road No., Tuscaloosa, AL 35406 | 2010-11-02 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1912042433 | Patrick Bruce Atkins | Psychiatry & Neurology | 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 | 2007-02-21 |
| 1073663555 | Mark Linden Prohaska | Clinical Neuropsychologist | 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 | 2007-01-10 |
| 1225197155 | Jane Watkins Phd | Counselor | 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 | 2006-12-06 |
| Find all providers in zip 35406 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982067500 | Kelly Mooney | Pharmacist | 5024 Kowaliga Rd, Eclectic, AL 36024-4809 | 2016-03-31 |
| 1780007930 | Ashley Parrish | Pharmacist | 3021 Cambridge Rd, Mountain Brk, AL 35223-1239 | 2014-01-23 |
| 1295913390 | William G Chism | Pharmacist | 109 Kevin Ln, Clanton, AL 35045-9612 | 2008-01-31 |
| 1477743029 | Cynthia Mccray Looney | Pharmacist | 3415 River Terrace Dr, Birmingham, AL 35223-2241 | 2007-07-30 |
| 1174743595 | James Alton Cantrell | Pharmacist | 9751 S Rocky Creek Rd, Cottonwood, AL 36320-4407 | 2007-04-26 |
| 1700493681 | Caitlin Hill | Pharmacist | 300 Faulkner Dr, Bay Minette, AL 36507-2771 | 2020-09-25 |
| 1497268130 | Maryam Iranikhah | Pharmacist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2017-11-15 |
| 1427440825 | Franklin Primary Health Center, Inc | Pharmacist | 1956 Duval St, Mobile, AL 36606-1145 | 2015-02-23 |
| 1811323694 | Patsy N. Swanson | Pharmacist | 230 Green Springs Hwy, Homewood, AL 35209-4906 | 2013-09-24 |
| 1710328679 | Laura Elizabeth Perry | Pharmacist | 5301 Summerville Rd, Phenix City, AL 36867-7423 | 2013-07-08 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35406 |
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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.