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

Tidalhealth Peninsula Regional, Inc

Organization Community/Retail Pharmacy · NPI 1285069617

Tidalhealth Peninsula Regional, Inc is a Community/Retail Pharmacy in Salisbury, Maryland. Licensed in Maryland. Registered with an NPI since 2013.

Licensed in
MD
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Carroll St
Salisbury, MD 21801-5422
Phone: (410) 543-4798
Fax: (410) 543-4799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence P06040 (MD)

Record details

NPI number1285069617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johnson — Director Of Ambulatory Pharmacy Svc · (410) 543-7745
Other names Tidalhealth Community Pharmacy; Tidalhealth Home Scripts
NPI enumeratedSeptember 4, 2013
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address100 E Carroll St Ste 1492, Salisbury, MD 21801-5422

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