PENINSULA PHARMACIES INC. (NPI# 1770665754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770665754 |
| Entity Type | Organization |
| Organization Name | PENINSULA PHARMACIES INC. |
| Other Organization Name | OCEAN PARK PHARMACY |
| Practice Address |
1501 Bay Ave Ocean Park WA 98640-4203 |
| Mailing Address |
Po Box 206 1501 Bay Ave Ocean Park WA 98640-0206 |
| Practice Telephone | 3606655181 |
| Practice Fax Number | 3606656264 |
| Mailing Telephone | 3606655181 |
| Mailing Fax Number | 3606656264 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | DR. JEFFREY SHANE HARRELL (PHARMACIST OWNER) |
| Authorized Official Telephone | 3606655181 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF00002166 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6127401 | 05 |
| Other Name | Type Code |
|---|---|
| Ocean Park Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423870 | Peninsula Pharmacies Inc. | Pharmacy | 101 1st Ave S, Ilwaco, WA 98624-9100 | 2020-10-06 |
| Street Address |
1501 BAY AVE |
| City | OCEAN PARK |
| State | WA |
| Zip Code | 98640-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689756660 | Jeffrey Shane Harrell | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640 | 2006-10-19 |
| 1689220360 | Zachery Carl Wilson | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640-4203 | 2019-08-17 |
| 1417482191 | Public Hospital District 3 of Pacific County | Clinic/Center | 1501 Bay Ave, Suite 201, Ocean Park, WA 98640-4203 | 2017-05-01 |
| 1992830137 | James Douglas Bannister | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245726694 | Danielle Rene Glover-cloutier | Nurse Practitioner | 21610 Pacific Highway, Ocean Park, WA 98640 | 2018-07-09 |
| 1225044456 | Terri Miller | Registered Nurse | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2006-07-31 |
| 1699749432 | Pacific County Fire Protection District 1 | Ambulance | 26109 Ridge Ave, Ocean Park, WA 98640 | 2006-02-16 |
| 1518338714 | Katherine Lindley | Nurse Practitioner | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2015-10-13 |
| 1215355185 | Tobi N Thaller | Family Medicine | 1501 Bay Ave Ste 201, Ocean Park, WA 98640 | 2014-03-28 |
| 1144550773 | Tatiana Trott | Dentist | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2010-01-04 |
| 1750408969 | Thomas R Geha | Acupuncturist | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2007-03-23 |
| 1891856142 | Cowlitz Family Health Center | Clinic/Center | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2006-12-12 |
| 1225300213 | Free By The Sea At Sunset View Freedom Center | Substance Abuse Rehabilitation Facility | 25517 Park Ave., Ocean Park, WA 98640-0399 | 2012-02-06 |
| 1033201322 | Kevin P Mcginley | Social Worker | 20701 Crane Pl, Ocean Park, WA 98640-3110 | 2006-09-28 |
| Find all providers in zip 98640 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493533 | Doctors Pharmacy, LLC | Pharmacy | 65 Columbia Point Dr, Richland, WA 99352-4375 | 2020-09-25 |
| 1871105999 | Whidbey Island Public Hospital District | Pharmacy | 7 Ne Birch St, Coupeville, WA 98239-3132 | 2020-08-19 |
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1245861996 | Salish Integrative Medicine, Inc | Pharmacy | 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 | 2020-01-31 |
| 1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN PARK |
| Zip Code | 98640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.