TIDWELL RX LLC


Address: 712 E Tidwell Rd Ste C, Houston, TX 77022
Phone: 8668527405

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX 149372 05
PK 2133182 01

Other Provider/Organization Names

Other Name Type Code
Tidwell RX LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215210125 Tidwell Rx LLC Pharmacy 712 E Tidwell Rd, Suite C, Houston, TX 77022 2011-09-27

Office Location

Street Address 712 E TIDWELL RD STE C
City HOUSTON
State TX
Zip Code 77022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568675940 Rx Pharmacy, Inc Pharmacist 712 E Tidwell Rd Ste C, Houston, TX 77022-1842 2007-05-08

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1700418373 Magnolia 1 House Nursing Care 505 E 38th St, Houston, TX 77022 2020-02-11
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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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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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1346857471 Tulson Pharmacy, LLC Pharmacy 3235 Holman St, Houston, TX 77004-3541 2020-09-23
1487260998 L K & E Management Inc Pharmacy 8880 Bellaire Blvd Ste B2, Houston, TX 77036-4621 2020-09-20
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Competitor

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City HOUSTON
Zip Code 77022

Improve Information

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Dataset Information

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.

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