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 1871031559

Tidalhealth Peninsula Regional, Inc is a Community/Retail Pharmacy in Salisbury, Maryland. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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 Ste 1435A
Salisbury, MD 21801
Phone: (667) 330-1065
Fax: (410) 438-1992
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1871031559
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTidalhealth Peninsula Regional, Inc
Authorized official John Jordan — Sr. Director Of Pharmacy · (410) 749-2825
Other names Tidalhealth Specialty Pharmacy
NPI enumeratedFebruary 2, 2017
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address1620 W. Northwest Hwy, Suite 100, Grapevine, TX 76051

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