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Active NPI 1508603945 Individual Practitioner Male Practitioner

Dr. Charles Michael Ditmore , PharmD

Pharmacist • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Dr. Charles Ditmore, PharmD is a registered healthcare professional specializing in Pharmacist in Lubbock, TX. Practice services are available at 4425 19TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4425 19th St

Lubbock, TX 794072408

Telephone 8067882015
Associated Practice Facility / Clinic
🏢 United Supermarkets Llc Facility NPI 1477531366

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
251 Specialists

Practicing in Lubbock, TX (18958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 74229

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jeff Hannon

Pharmacist

NPI 1134619067
NPI 1225870330

Doctor of Pharmacy (Pharm.D.)

NPI 1255262309

Registered Pharmacist

NPI 1275998593

Doctor of Pharmacy (Pharm.D.)

NPI 1417447780

Registered Pharmacist

NPI 1639806136

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 12, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2024

Registered at 4425 19TH ST, LUBBOCK, TX 794072408 (Tel: 8067882015)

📍
Updated Business Mailing Address July 12, 2024

Registered at 3801 133RD ST UNIT A, LUBBOCK, TX 794232493 (Tel: 8064942746)

👤
Provider Name / Credentials Updated July 12, 2024

Recorded as CHARLES DITMORE, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2024

Pharmacist (License #74229 in TX)

🟢
Initial NPI Registration & Enumeration July 12, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508603945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2024
Last Update: July 12, 2024
Sole Proprietor: No

Mailing Address

3801 133rd St Unit A

Lubbock, TX 794232493

Phone: 8064942746

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.