OrganizationActive
Peninsula Pharmacy Gladstone LLC
NPI 1215611959 · Community/Retail Pharmacy · Gladstone, MI
Peninsula Pharmacy Gladstone LLC is a Community/Retail Pharmacy organization in Gladstone, MI (NPI 1215611959).
Provider details
- NPI number
- 1215611959
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tyler Jenema, Pharmacist(906) 225-3902
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
117 N 9th St
Gladstone, MI 49837-1644
Phone: (906) 225-3902
Fax: (906) 226-2661
Street-level locationGet directions
Mailing address
1414 W Fair Ave Ste 133
Marquette, MI 49855-5408
Registry dates
- Enumerated
- 2023-06-13
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Frequently asked questions
- What is Peninsula Pharmacy Gladstone LLC's NPI number?
- Peninsula Pharmacy Gladstone LLC's National Provider Identifier (NPI) is 1215611959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Pharmacy Gladstone LLC?
- Peninsula Pharmacy Gladstone LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Peninsula Pharmacy Gladstone LLC located?
- Peninsula Pharmacy Gladstone LLC's practice location on file with NPPES is 117 N 9th St, Gladstone, MI 49837-1644.
- What is Peninsula Pharmacy Gladstone LLC's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Pharmacy Gladstone LLC is (906) 225-3902.
- Who is the authorized official for Peninsula Pharmacy Gladstone LLC?
- The authorized official listed on Peninsula Pharmacy Gladstone LLC's NPPES record is Tyler Jenema, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Pharmacy Gladstone LLC's NPI active?
- Yes — Peninsula Pharmacy Gladstone LLC's NPI (1215611959) is active in the NPPES registry as of the last update on 2023-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.