Tidalhealth Peninsula Regional, Inc.
NPI 1871031559 · Community/Retail Pharmacy · Salisbury, MD
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidalhealth Peninsula Regional, Inc. is a Community/Retail Pharmacy organization in Salisbury, MD (NPI 1871031559).
Provider details
- NPI number
- 1871031559
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Tidalhealth Peninsula Regional, Inc.
- Organization subpart
- Yes
- Authorized official
- John Jordan, Sr. Director of Pharmacy(410) 749-2825
Specialties & taxonomies
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Tidalhealth Specialty Pharmacy
Registry dates
- Enumerated
- 2017-02-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Tidalhealth Peninsula Regional, Inc.'s NPI number?
- Tidalhealth Peninsula Regional, Inc.'s National Provider Identifier (NPI) is 1871031559, 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 100 E. Carroll Street, Salisbury, MD 21801.
- What is Tidalhealth Peninsula Regional, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Tidalhealth Peninsula Regional, Inc. is (667) 330-1065.
- Does Tidalhealth Peninsula Regional, Inc. accept Medicare?
- Tidalhealth Peninsula Regional, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tidalhealth Peninsula Regional, Inc.?
- The authorized official listed on Tidalhealth Peninsula Regional, Inc.'s NPPES record is John Jordan, Sr. Director of Pharmacy. 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 (1871031559) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.