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PENINSULA PHARMACY HEALTH SYSTEMS CAMPUS LLC
NPI 1073919049
Pharmacy - Community/Retail Pharmacy in Marquette, MI

Active since November 18, 2014
580 W COLLEGE AVE, MARQUETTE, MI 49855(906) 869-0999 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peninsula Pharmacy Health Systems Campus Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA PHARMACY HEALTH SYSTEMS CAMPUS LLC (NPI 1073919049) is a healthcare organization registered as a community/retail pharmacy in Marquette, Michigan and active in the NPI registry since November 2014. The organization lists Tyler J Jenema, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1073919049
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePENINSULA PHARMACY HEALTH SYSTEMS CAMPUS LLC
Location Address580 W COLLEGE AVEMarquette, MI 49855-2736
Mailing Address300 N Mcclellan AveMarquette, MI 49855-3920
Phone(906) 869-0999
Organization SubpartNo
Authorized OfficialTyler J JenemaPharmacist/owner · (906) 869-0999
Enumeration DateNovember 18, 2014
Last NPPES UpdateNovember 25, 2014
✔ NPI 1073919049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
580 W COLLEGE AVE, Marquette, MI 49855
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA JEAN ROOSE REGISTERED DIETITIAN
Dietitian, Registered
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3221
DR. BRIAN JON MACFALDA DO, MBA
Psychiatry & Neurology (Neurology)
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3939
DLP MARQUETTE PHYSICIAN PRACTICES INC
Physical Medicine & Rehabilitation
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3993
SANDRA L WACHTER CRNA
Nurse Anesthetist, Certified Registered
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3406
DR. PRAKASH R DHADPHALE M.D.
Anesthesiology
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 226-2569
ROBERT A MELLIN M ED LPC CSW CACII
Counselor (Addiction (Substance Use Disorder))
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3985
DR. TYANNE LEE DOSH M.D., M.S.
Psychiatry & Neurology (Psychiatry)
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3895
MR. ANDREW GERARD BOUDREAU N.P.
Nurse Practitioner
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-4531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Pharmacy Health Systems Campus LLC's NPI number?

The NPI number for Peninsula Pharmacy Health Systems Campus LLC is 1073919049. It was assigned to this organization in the NPPES registry on November 18, 2014.

Where is Peninsula Pharmacy Health Systems Campus LLC located?

Peninsula Pharmacy Health Systems Campus LLC is located at 580 W College Ave, Marquette, MI 49855. The listed phone number is (906) 869-0999.

What is Peninsula Pharmacy Health Systems Campus LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Peninsula Pharmacy Health Systems Campus LLC was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.