Peninsula Pharmacies Inc Long Beach Pharmacy Annex
NPI 1063048197 · Compounding Pharmacy · Long Beach, WA
Peninsula Pharmacies Inc Long Beach Pharmacy Annex is a Compounding Pharmacy organization in Long Beach, WA (NPI 1063048197).
Provider details
- NPI number
- 1063048197
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Parent organization
- Peninsula Pharmacies Inc.
- Organization subpart
- Yes
- Authorized official
- Jeffrey Harrell, President(360) 859-8659
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Peninsula Compounding
Registry dates
- Enumerated
- 2020-03-20
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Frequently asked questions
- What is Peninsula Pharmacies Inc Long Beach Pharmacy Annex's NPI number?
- Peninsula Pharmacies Inc Long Beach Pharmacy Annex's National Provider Identifier (NPI) is 1063048197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Pharmacies Inc Long Beach Pharmacy Annex?
- Peninsula Pharmacies Inc Long Beach Pharmacy Annex is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Peninsula Pharmacies Inc Long Beach Pharmacy Annex located?
- Peninsula Pharmacies Inc Long Beach Pharmacy Annex's practice location on file with NPPES is 110 Oregon Ave S, Long Beach, WA 98631.
- What is Peninsula Pharmacies Inc Long Beach Pharmacy Annex's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Pharmacies Inc Long Beach Pharmacy Annex is (360) 642-1250.
- Who is the authorized official for Peninsula Pharmacies Inc Long Beach Pharmacy Annex?
- The authorized official listed on Peninsula Pharmacies Inc Long Beach Pharmacy Annex's NPPES record is Jeffrey Harrell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Pharmacies Inc Long Beach Pharmacy Annex's NPI active?
- Yes — Peninsula Pharmacies Inc Long Beach Pharmacy Annex's NPI (1063048197) is active in the NPPES registry as of the last update on 2026-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.