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TIDALHEALTH PENINSULA REGIONAL INC. NPI 1285069617


NPI Information

NPI: 1285069617
Provider Name: TIDALHEALTH PENINSULA REGIONAL, INC.

Other Name: TIDALHEALTH HOME SCRIPTS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
100 E CARROLL ST
SALISBURY, MD
ZIP 21801
Phone: (410) 543-4798
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TIDALHEALTH PENINSULA REGIONAL, INC. is a community/retail pharmacy pharmacy in Salisbury, MD. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TIDALHEALTH PENINSULA REGIONAL, INC. NPI is 1285069617. The provider is registered as an organization entity type.
The provider Other Name Is Tidalhealth Home Scripts.

The provider's business location address is:

100 E CARROLL ST
SALISBURY, MD
ZIP 21801-422
Phone: (410) 543-4798
Fax: (410) 543-4799

The provider's authorized official is Dennis Killian .
The authorized official title is Director Of Pharmacy Operation and has the following contact phone number (410) 543-7509.

The enumeration date for this NPI number is 9/4/2013 and was last updated on 10/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyP06040MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12142289OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.