OrganizationActive
Peninsula Pharmacy Inc.
NPI 1366943995 · Long Term Care Pharmacy · Marquette, MI
Peninsula Pharmacy Inc. is a Long Term Care Pharmacy organization in Marquette, MI (NPI 1366943995).
Provider details
- NPI number
- 1366943995
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Praveen Challa, Owner(906) 225-3902
Specialties & taxonomies
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1414 W Fair Ave Ste 133
Marquette, MI 49855-5408
Phone: (906) 225-3902
Street-level locationGet directions
Mailing address
1414 W Fair Ave Ste 133
Marquette, MI 49855-5408
Other names (DBA / former)
- Doing business as
- Peninsula Pharmacy
Registry dates
- Enumerated
- 2018-02-28
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Frequently asked questions
- What is Peninsula Pharmacy Inc.'s NPI number?
- Peninsula Pharmacy Inc.'s National Provider Identifier (NPI) is 1366943995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Pharmacy Inc.?
- Peninsula Pharmacy Inc. is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Peninsula Pharmacy Inc. located?
- Peninsula Pharmacy Inc.'s practice location on file with NPPES is 1414 W Fair Ave Ste 133, Marquette, MI 49855-5408.
- What is Peninsula Pharmacy Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Peninsula Pharmacy Inc. is (906) 225-3902.
- Who is the authorized official for Peninsula Pharmacy Inc.?
- The authorized official listed on Peninsula Pharmacy Inc.'s NPPES record is Praveen Challa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Pharmacy Inc.'s NPI active?
- Yes — Peninsula Pharmacy Inc.'s NPI (1366943995) is active in the NPPES registry as of the last update on 2024-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.