Tidwell Pharmacy
Tidwell Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Pearland, TX, holding Type 2 (organization) NPI 1538295944 since 2007. The authorized official on file is Ravishanker Mallapuram, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538295944 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tidwell Pharmacy |
| Other name | <Unavail> |
| Practice address | 12280 BROADWAY ST BLDG 4 UNIT 4124, Pearland, TX, 77584 |
| Phone | 7138848807 |
| Fax | 7138848824 |
| Enumeration date | 2007-02-27 |
| Last updated in NPPES | 2024-10-11 |
Authorized official
| Name | Ravishanker Mallapuram |
|---|---|
| Title | Owner |
| Phone | 7138848807 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 23350 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145439 | Medicaid | TX | — |
| 2095669 | Other | — | PK |
Copy-ready billing details
Provider: Tidwell Pharmacy NPI: 1538295944 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 12280 BROADWAY ST BLDG 4 UNIT 4124, Pearland, TX, 77584
Verify this record
Cross-check NPI 1538295944 against the authoritative CMS record: view Tidwell Pharmacy 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.
Frequently asked questions
Where is Tidwell Pharmacy located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-11.