Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Madison Ethridge, RPH

Individual provider Pharmacist · NPI 1700478575

Derek Madison Ethridge, RPH is a Pharmacist in Lytle, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

19450 McDonald St Ste 102
Lytle, TX 78052-3649
Phone: (830) 988-0100
Fax: (830) 988-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 30227 (TX)

Record details

NPI number1700478575
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address1757 Sunflower Blf, New Braunfels, TX 78130-1958

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