NPI age
11 years
Enumerated 2014-09-24
● Active
Type 1 · Individual
MR. Crockett Tidwell, RPH
Tidwell is 1 of 9 pharmacist providers in Lubbock and 1 of 1239 in Texas.
Primary specialty
Pharmacist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-09-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1239 active pharmacist providers in Texas.
NPI age
11 years
↑ 5 yr above median (6 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-09Enumerated in NPPES
2014
2026
Where they practice
Practice location
4205 98th St
Lubbock, TX 794233971
Mailing address
4205 98th St
Lubbock, TX 794233971
Specialties
-
Pharmacist PrimaryPharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 38448 | PHARMACY LICENSE |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.