1. Home
  2. Directory
  3. Michigan
  4. Gladstone
  5. Pharmacy
  6. NPI Profile

PENINSULA PHARMACY GLADSTONE LLC
NPI 1215611959
Pharmacy - Community/Retail Pharmacy in Gladstone, MI

Active since June 13, 2023
117 N 9TH ST, GLADSTONE, MI 49837(906) 225-3902(906) 226-2661 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peninsula Pharmacy Gladstone Llc NPPES

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

PENINSULA PHARMACY GLADSTONE LLC (NPI 1215611959) is a healthcare organization registered as a community/retail pharmacy in Gladstone, Michigan and active in the NPI registry since June 2023. The organization lists Tyler J Jenema, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1215611959
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePENINSULA PHARMACY GLADSTONE LLC
Location Address117 N 9TH STGladstone, MI 49837-1644
Mailing Address1414 W Fair Ave Ste 133Marquette, MI 49855-5408 · (906) 225-3902 · Fax (906) 226-2661
Phone(906) 225-3902
Fax(906) 226-2661
Organization SubpartNo
Authorized OfficialTyler J JenemaPharmacist · (906) 225-3902
Enumeration DateJune 13, 2023
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1215611959 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.
117 N 9TH ST, Gladstone, MI 49837
Open in Google Maps ↗

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 Gladstone LLC's NPI number?

The NPI number for Peninsula Pharmacy Gladstone LLC is 1215611959. It was assigned to this organization in the NPPES registry on June 13, 2023.

Where is Peninsula Pharmacy Gladstone LLC located?

Peninsula Pharmacy Gladstone LLC is located at 117 N 9th St, Gladstone, MI 49837. The listed phone number is (906) 225-3902.

What is Peninsula Pharmacy Gladstone 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 Gladstone LLC was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.