OrganizationActive
Tidwell Pharmacy
NPI 1538295944 · Community/Retail Pharmacy · Pearland, TX
Tidwell Pharmacy is a Community/Retail Pharmacy organization in Pearland, TX (NPI 1538295944).
Provider details
- NPI number
- 1538295944
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ravishanker Mallapuram, Owner(713) 884-8807
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
12280 Broadway St Bldg 4 Unit 4124
Pearland, TX 77584-4352
Phone: (713) 884-8807
Fax: (713) 884-8824
Street-level locationGet directions
Mailing address
12280 Broadway St Bldg 4 Unit 4124
Pearland, TX 77584-4352
Other names (DBA / former)
- Doing business as
- Tidwell Pharmacy
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Frequently asked questions
- What is Tidwell Pharmacy's NPI number?
- Tidwell Pharmacy's National Provider Identifier (NPI) is 1538295944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidwell Pharmacy?
- Tidwell Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Tidwell Pharmacy located?
- Tidwell Pharmacy's practice location on file with NPPES is 12280 Broadway St Bldg 4 Unit 4124, Pearland, TX 77584-4352.
- What is Tidwell Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Tidwell Pharmacy is (713) 884-8807.
- Who is the authorized official for Tidwell Pharmacy?
- The authorized official listed on Tidwell Pharmacy's NPPES record is Ravishanker Mallapuram, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidwell Pharmacy's NPI active?
- Yes — Tidwell Pharmacy's NPI (1538295944) is active in the NPPES registry as of the last update on 2024-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.