TIDALHEALTH PENINSULA REGIONAL, INC.

Community/Retail Pharmacy

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.

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Contact Information

TIDALHEALTH PENINSULA REGIONAL, INC.

100 E. CARROLL STREET
SUITE 1435A
SALISBURY, MD 21801

Phone: 667-330-1065
Fax: 410-438-1992
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Specialty Pharmacy	3336S0011X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for TIDALHEALTH PENINSULA REGIONAL, INC.

NPI Number	`1871031559`
LBN Legal business name	TIDALHEALTH PENINSULA REGIONAL, INC.
Authorized official	JOHN JORDAN - (SR. DIRECTOR OF PHARMACY)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	02/02/2017
Last updated	12/02/2025 - About 6 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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