Derek Madison Ethridge, RPH
Derek Madison Ethridge is a Pharmacist provider (Pharmacist) practicing in Lytle, TX, registered in the NPPES registry with NPI 1700478575 since 2021. The credential RPH stands for Registered Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700478575 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Derek Madison Ethridge |
| Credential | RPH |
| Sex | Male |
| Practice address | 19450 MCDONALD ST STE 102, Lytle, TX, 78052 |
| Phone | 8309880100 |
| Fax | 8309880111 |
| Enumeration date | 2021-02-03 |
| Last updated in NPPES | 2021-02-03 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 30227 | TX |
RPH — Registered Pharmacist: A licensed pharmacist registered with a state board of pharmacy. About the RPH credential
Copy-ready billing details
Provider: Derek Ethridge, RPH NPI: 1700478575 Taxonomy: 183500000X (Pharmacist) Address: 19450 MCDONALD ST STE 102, Lytle, TX, 78052
Verify this record
Cross-check NPI 1700478575 against the authoritative CMS record: view Derek Madison Ethridge on the official NPPES registry .
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. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-02-03.