Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peninsula Pharmacy Gladstone LLC

Organization Community/Retail Pharmacy · NPI 1215611959

Peninsula Pharmacy Gladstone LLC is a Community/Retail Pharmacy in Gladstone, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

117 N 9th St
Gladstone, MI 49837-1644
Phone: (906) 225-3902
Fax: (906) 226-2661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1215611959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Jenema — Pharmacist · (906) 225-3902
NPI enumeratedJune 13, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing address1414 W Fair Ave Ste 133, Marquette, MI 49855-5408