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

Nicholas Tidwell, PHARMD

Individual provider Pharmacist · NPI 1891243465

Nicholas Tidwell, PHARMD is a Pharmacist in Lake Mary, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

1521 Oberlin Ter
Lake Mary, FL 32746-5937
Phone: (321) 274-7830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS55365 (FL)

Record details

NPI number1891243465
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedSeptember 13, 2016
Last updated in NPPESSeptember 13, 2016
Mailing address1521 Oberlin Ter, Lake Mary, FL 32746-5937

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