IndividualActive
Mykel Tidwell, PHARMD
NPI 1063782399 · Pharmacist · Mayfield, KY
Mykel Tidwell, PHARMD is a Pharmacist provider in Mayfield, KY (NPI 1063782399).
Provider details
- NPI number
- 1063782399
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 015489 (KY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1520 Cuba Rd
Mayfield, KY 42066-6809
Phone: (270) 705-1141
Approximate (ZIP-level) locationGet directions
Mailing address
66 Lake Terry Dr
Mayfield, KY 42066-6982
Registry dates
- Enumerated
- 2012-01-04
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Frequently asked questions
- What is Mykel Tidwell's NPI number?
- Mykel Tidwell's National Provider Identifier (NPI) is 1063782399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mykel Tidwell's specialty?
- Mykel Tidwell is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Mykel Tidwell located?
- Mykel Tidwell's practice location on file with NPPES is 1520 Cuba Rd, Mayfield, KY 42066-6809.
- What is Mykel Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Mykel Tidwell is (270) 705-1141.
- Is Mykel Tidwell's NPI active?
- Yes — Mykel Tidwell's NPI (1063782399) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.