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ILWACO PHARMACY
NPI 1104423870
Pharmacy - Long Term Care Pharmacy in Ilwaco, WA

Active since October 06, 2020
101 1ST AVE S, ILWACO, WA 98624(360) 642-3133(360) 642-5133 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2020, Oct 6, 2020 (2 updates tracked since 2020).

About Ilwaco Pharmacy NPPES

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

ILWACO PHARMACY (NPI 1104423870) is a healthcare organization registered as a long term care pharmacy in Ilwaco, Washington and active in the NPI registry since October 2020. The organization lists Jeffrey Shane Harrell, President, as its authorized official.

NPPES Registry Identity

NPI1104423870
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePENINSULA PHARMACIES INC.
Location Address101 1ST AVE SIlwaco, WA 98624-9100
Mailing AddressPo Box BIlwaco, WA 98624-0167 · (360) 642-3133 · Fax (360) 642-5133
Phone(360) 642-3133
Fax(360) 642-5133
Organization SubpartNo
Authorized OfficialJeffrey Shane HarrellPresident · (360) 642-3133
Enumeration DateOctober 6, 2020
Last NPPES UpdateDecember 16, 20202 updates tracked since enumeration
NPPES CertifiedDecember 16, 2020
✔ NPI 1104423870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
101 1ST AVE S, Ilwaco, WA 98624
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Other Names 1

Doing Business AsIlwaco Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 23

Medicare supplier enrollment and the product categories Ilwaco Pharmacy carries, from the Medicare DMEPOS supplier directory.

Ilwaco Pharmacy

DMEPOS supplier · Ilwaco, WAOperated by Peninsula Pharmacies Inc
✔

Accepts Medicare assignment

Ilwaco Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20409995
Medicare Participant SinceDecember 2, 2020
Supplier Location101 First Ave SIlwaco, WA 98624
Phone(360) 642-3133
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

SUSAN C FREESE RPH
Pharmacist
101 1ST AVE S
ILWACO, WA 98624
Pacific County (360) 642-3133
LINDY DANIELLE WOOD SWAIN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 1ST AVE S
ILWACO, WA 98624
Pacific County (206) 715-6801
PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
Clinic/Center (Rural Health)
101 1ST AVE S
ILWACO, WA 98624
Pacific County (360) 642-2662
DR. DALEEN ANGELINE LYLE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 1ST AVE S
ILWACO, WA 98624
Pacific County (360) 642-3133
JEFFREY SHANE HARRELL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 1ST AVE S
ILWACO, WA 98624
Pacific County (360) 642-3133

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 Pharmacies Inc.'s NPI number?

The NPI number for Peninsula Pharmacies Inc. is 1104423870. It was assigned to this organization in the NPPES registry on October 6, 2020. The provider is doing business as Ilwaco Pharmacy.

Where is Peninsula Pharmacies Inc. located?

Peninsula Pharmacies Inc. is located at 101 1st Ave S, Ilwaco, WA 98624. The listed phone number is (360) 642-3133.

What is Peninsula Pharmacies Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Peninsula Pharmacies Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ilwaco Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Peninsula Pharmacies Inc. accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 12 other insurers list Peninsula Pharmacies Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peninsula Pharmacies Inc. was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.