TIDALHEALTH PENINSULA REGIONAL, INC. (NPI# 1851795017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851795017 |
Entity Type | Organization |
Organization Name | TIDALHEALTH PENINSULA REGIONAL, INC. |
Other Organization Name | TIDALHEALTH HOME SCRIPTS |
Practice Address |
11101 Cathage Rd Berlin MD 21811 |
Practice Telephone | 4105434769 |
Practice Fax Number | 4105434770 |
Mailing Telephone | 4105434769 |
Mailing Fax Number | 4105434770 |
Enumeration Date | 2014-10-17 |
Last Update Date | 2020-10-27 |
Authorized Official Name | WILLIAM COOPER (AMBULATORY PHARMACY MANAGER,AO) |
Authorized Official Telephone | 4105437047 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P06935 | MD | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2153648 | 01 |
Other Name | Type Code |
---|---|
PRMC Home Scripts Ocean Pines | Doing Business As Name - Organization |
TidalHealth Home Scripts | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982171005 | Tidalhealth Peninsula Regional, Inc. | General Acute Care Hospital | 106 Milford St Ste 404, Salisbury, MD 21804-6967 | 2018-10-26 |
1033592662 | Tidalhealth Peninsula Regional, Inc. | Clinic/Center | 804 Snow Hill Rd, Salisbury, MD 21804-1938 | 2015-07-01 |
1285069617 | Tidalhealth Peninsula Regional, Inc. | Pharmacy | 100 E Carroll St, Salisbury, MD 21801-5422 | 2013-09-04 |
1780689463 | Tidalhealth Peninsula Regional, Inc. | Clinical Medical Laboratory | 100 E Carroll St, Salisbury, MD 21801-5422 | 2005-06-17 |
Street Address |
11101 CATHAGE RD |
City | BERLIN |
State | MD |
Zip Code | 21811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801975750 | Jody L Halcott | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811 | 2006-11-03 |
1144707720 | Jordan Pearson Braniff | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2018-07-26 |
1033661780 | Sharon Hartman | Pharmacist | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2016-10-28 |
1720319452 | Heather Kohli-werner | Physician Assistant | 11101 Cathage Rd, Berlin, MD 21811 | 2010-01-20 |
1457583759 | Lori Michele Latona | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2009-08-20 |
1548419476 | Mairen L Baunhofer | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811 | 2008-09-16 |
1902082233 | Tammy Lynn Donoway | Family Medicine | 11101 Cathage Rd, Berlin, MD 21811 | 2008-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
Find all providers in zip 21811 |
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 |
---|---|---|---|---|
1053737155 | Berlin Pharmacy LLC | Pharmacy | 360 S White Horse Pike, Unit C, Berlin, NJ 08009-1974 | 2014-03-13 |
1396894564 | Jonico Inc | Pharmacy | 413 Broadway St, Berlin, PA 15530-1001 | 2007-01-09 |
1164514147 | Ohio Cvs Stores, L.L.C. | Pharmacy | 4900 Oak St, Berlin, OH 44610-0296 | 2006-09-28 |
1417051319 | Connecticut Cvs Pharmacy LLC. | Pharmacy | 308 Wilbur Cross Hwy, Berlin, CT 06037-1506 | 2006-09-12 |
1174544621 | Walgreen Co | Pharmacy | 11085 Cathell Rd, Berlin, MD 21811-9301 | 2006-07-21 |
1609391622 | Walgreen Co | Pharmacy | 200 Pleasant St, Berlin, NH 03570-2044 | 2017-08-10 |
1962612473 | Pharmacy Operations Inc | Pharmacy | 145 Main St, Berlin, NH 03570-2417 | 2007-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679174536 | Daily Care Pharmacy | Pharmacy | 167 Jennifer Rd Ste D, Annapolis, MD 21401-7910 | 2020-11-05 |
1053925693 | Universal Products and Services, LLC. | Pharmacy | 1810 Crain Hwy S Unit B, Glen Burnie, MD 21061-5505 | 2020-09-01 |
1235751470 | Complete Wellness Pharmacy LLC | Pharmacy | 5732 Buckeystown Pike Ste 24, Frederick, MD 21704-5180 | 2020-05-11 |
1336774363 | Padonia Village Pharmacy | Pharmacy | 17 E Padonia Rd, Lutherville Timonium, MD 21093-2306 | 2020-03-10 |
1881234904 | The Pharmacia | Pharmacy | 1809 Reisterstown Rd Ste 115, Pikesville, MD 21208-6329 | 2020-01-07 |
1184266355 | Kent Island Pharmacy, LLC | Pharmacy | 382 Thompson Creek Mall, Stevensville, MD 21666-2593 | 2019-10-09 |
1730720624 | Tidewater Drug and Health Care | Pharmacy | 30170 Three Notch Rd Unit B, Charlotte Hall, MD 20622-4119 | 2019-10-02 |
1598312654 | Alsbiz Group Inc. | Pharmacy | 602 Cherry Hill Rd, Baltimore, MD 21225-1229 | 2019-08-23 |
1356997407 | Well-rx LLC | Pharmacy | 10151 York Rd Ste 105-106, Cockeysville, MD 21030-3314 | 2019-08-14 |
1184277279 | The Pharmacy At, Inc | Pharmacy | 524 E Belvedere Ave Ste A, Baltimore, MD 21212-3701 | 2019-07-18 |
Find all providers with the same taxonomy |
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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.