TIDALHEALTH PENINSULA REGIONAL, INC.


Address: 11101 Cathage Rd, Berlin, MD 21811
Phone: 4105434769

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
P06935 MD Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2153648 01

Other Provider/Organization Names

Other Name Type Code
PRMC Home Scripts Ocean Pines Doing Business As Name - Organization
TidalHealth Home Scripts Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 11101 CATHAGE RD
City BERLIN
State MD
Zip Code 21811

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BERLIN
Zip Code 21811

Improve Information

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Dataset Information

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.

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