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.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Community/Retail Pharmacy | 3336C0003X |
* Indicates primary specialty
| NPI Number | 1851795017 |
| Legal business name LBN |
TIDALHEALTH PENINSULA REGIONAL, INC. |
| Authorized official | KEVIN JOHNSON - (DIRECTOR OF AMBULATORY PHARMACY SVC) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 10/17/2014 |
| Last updated | 03/02/2026 - About 3 months ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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