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PENINSULA PHARMACY PLUS
NPI 1144646290
Pharmacy - Community/Retail Pharmacy in Marquette, MI

Active since March 13, 2014
300 N MCCLELLAN AVE, MARQUETTE, MI 49855(906) 225-1450(906) 225-1501 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peninsula Pharmacy Plus NPPES

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

PENINSULA PHARMACY PLUS (NPI 1144646290) is a healthcare organization registered as a community/retail pharmacy in Marquette, Michigan and active in the NPI registry since March 2014. The organization lists Tyler J Jenema, President, as its authorized official.

NPPES Registry Identity

NPI1144646290
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePENINSULA PHARMACY PLUS LLC
Location Address300 N MCCLELLAN AVEMarquette, MI 49855-3920
Mailing Address300 N Mcclellan AveMarquette, MI 49855-3920 · (906) 225-1450 · Fax (906) 225-1501
Phone(906) 225-1450
Fax(906) 225-1501
Organization SubpartNo
Authorized OfficialTyler J JenemaPresident · (906) 225-1450
Enumeration DateMarch 13, 2014
Last NPPES UpdateFebruary 17, 2020
✔ NPI 1144646290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301010508
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.
300 N MCCLELLAN AVE, Marquette, MI 49855
Open in Google Maps ↗

Other Names 1

Doing Business AsPeninsula Pharmacy Plus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2151938

Peninsula Pharmacy Plus · Marquette, MI
Expired · Jul 30, 2026
CLIA Number23D2151938
Laboratory TypePharmacy
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorTyler J. Jenema
Laboratory Phone(906) 225-1450
Laboratory LocationPeninsula Pharmacy Plus300 N Mcclellan Avenue, Marquette, MI 49855
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services24 patients

Other Providers at the Same Location NPPES

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

NEW PENINSULA PHARMACY PLUS LLC
Pharmacy (Long Term Care Pharmacy)
300 N MCCLELLAN AVE
MARQUETTE, MI 49855
Marquette County (906) 225-1450

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 Plus LLC's NPI number?

The NPI number for Peninsula Pharmacy Plus LLC is 1144646290. It was assigned to this organization in the NPPES registry on March 13, 2014. The provider is doing business as Peninsula Pharmacy Plus.

Where is Peninsula Pharmacy Plus LLC located?

Peninsula Pharmacy Plus LLC is located at 300 N Mcclellan Ave, Marquette, MI 49855. The listed phone number is (906) 225-1450.

What is Peninsula Pharmacy Plus LLC's specialty?

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

What insurance does Peninsula Pharmacy Plus LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Peninsula Pharmacy Plus LLC 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 Pharmacy Plus LLC was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.