OrganizationActive
Peninsula Pharmacy Escanaba LLC
NPI 1619408424 · Community/Retail Pharmacy · Escanaba, MI
Peninsula Pharmacy Escanaba LLC is a Community/Retail Pharmacy organization in Escanaba, MI (NPI 1619408424).
Provider details
- NPI number
- 1619408424
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tyler Jenema, President(906) 225-3902
Specialties & taxonomies
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2500 7th Ave S
Ste 200
Escanaba, MI 49829-1292
Phone: (906) 225-3902
Fax: (906) 226-2661
Street-level locationGet directions
Mailing address
1414 W. Fair Ave
Marquette, MI 49855
Other names (DBA / former)
- Doing business as
- Peninsula Pharmacy Escanaba
- Doing business as
- Peninsula Pharmacy Escanaba
Registry dates
- Enumerated
- 2017-03-23
- Last updated
- 2022-11-16
- Certified
- 2022-11-16
Frequently asked questions
- What is Peninsula Pharmacy Escanaba LLC's NPI number?
- Peninsula Pharmacy Escanaba LLC's National Provider Identifier (NPI) is 1619408424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Pharmacy Escanaba LLC?
- Peninsula Pharmacy Escanaba LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Peninsula Pharmacy Escanaba LLC located?
- Peninsula Pharmacy Escanaba LLC's practice location on file with NPPES is 2500 7th Ave S, Escanaba, MI 49829-1292.
- What is Peninsula Pharmacy Escanaba LLC's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Pharmacy Escanaba LLC is (906) 225-3902.
- Who is the authorized official for Peninsula Pharmacy Escanaba LLC?
- The authorized official listed on Peninsula Pharmacy Escanaba LLC's NPPES record is Tyler Jenema, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Pharmacy Escanaba LLC's NPI active?
- Yes — Peninsula Pharmacy Escanaba LLC's NPI (1619408424) is active in the NPPES registry as of the last update on 2022-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.