Tidalhealth Peninsula Regional, Inc.
NPI 1851795017 · Community/Retail Pharmacy · Berlin, MD
Tidalhealth Peninsula Regional, Inc. is a Community/Retail Pharmacy organization in Berlin, MD (NPI 1851795017).
Provider details
- NPI number
- 1851795017
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Johnson, Director of Ambulatory Pharmacy Svc(410) 543-7745
- License
- P06935 (MD)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
529 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 333 | $32 |
| Admn Sarscov2 Vacc 1 Dose90480 | 196 | $43 |
Typical Medicare-allowed amounts for these services range $32–$43 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tidalhealth Community Pharmacy
- Other name
- Tidalhealth Home Scripts
Registry dates
- Enumerated
- 2014-10-17
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Frequently asked questions
- What is Tidalhealth Peninsula Regional, Inc.'s NPI number?
- Tidalhealth Peninsula Regional, Inc.'s National Provider Identifier (NPI) is 1851795017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidalhealth Peninsula Regional, Inc.?
- Tidalhealth Peninsula Regional, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Tidalhealth Peninsula Regional, Inc. located?
- Tidalhealth Peninsula Regional, Inc.'s practice location on file with NPPES is 11101 Cathage Rd, Berlin, MD 21811.
- What is Tidalhealth Peninsula Regional, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Tidalhealth Peninsula Regional, Inc. is (410) 543-4769.
- Who is the authorized official for Tidalhealth Peninsula Regional, Inc.?
- The authorized official listed on Tidalhealth Peninsula Regional, Inc.'s NPPES record is Kevin Johnson, Director of Ambulatory Pharmacy Svc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidalhealth Peninsula Regional, Inc.'s NPI active?
- Yes — Tidalhealth Peninsula Regional, Inc.'s NPI (1851795017) is active in the NPPES registry as of the last update on 2026-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.