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Mr. Crockett Tidwell, RPH

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lubbock, TX · enumerated 2014 · practices at United Supermarkets LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013319714

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Registry record

Entity type Individual (Type 1)
Name Mr. Crockett Tidwell
Credential RPH
Sex Male
Practice address 4205 98th St, Lubbock, TX, 79423
Phone (806) 798-6115
Fax (806) 798-6117
Enumeration date Sep 24, 2014
Last updated in NPPES Sep 24, 2014

Taxonomy & licenses

1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacy Service Providers · License 38448 (TX) Primary
RPH · Registered Pharmacist: A licensed pharmacist registered with a state board of pharmacy. About the RPH credential

Other identifiers

Identifier Type State Issuer
38448 Other TX PHARMACY LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Crockett Tidwell?
The National Provider Identifier (NPI) for Crockett Tidwell is 1013319714, a Type 1 (individual) record in the CMS NPPES registry.
Where does Crockett Tidwell practice?
The practice location on file with NPPES is in Lubbock, TX. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-09-24.