ILWACO PHARMACY
NPI 1255416038
Pharmacy - Community/Retail Pharmacy in Ilwaco, WA

Active since October 27, 2006
101 1ST AVE SOUTH, ILWACO, WA 98624(360) 642-3133(360) 642-5133 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ilwaco Pharmacy NPPES

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

ILWACO PHARMACY (NPI 1255416038) is a healthcare organization registered as a community/retail pharmacy in Ilwaco, Washington and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Ilwaco and lists Tom Sutherland, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1255416038
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePENINSULA PHARMACIES INC
Location Address101 1ST AVE SOUTHIlwaco, WA 98624
Mailing AddressPo Box BIlwaco, WA 98624-0167 · (360) 642-3133 · Fax (360) 642-5133
Fax(360) 642-5133
Organization SubpartNo
Authorized OfficialTom SutherlandPharmacist · (360) 642-3133
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
NPI 1255416038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in WA · CF00000398
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.
101 1ST AVE SOUTH, Ilwaco, WA 98624

Other Names 1

Doing Business AsIlwaco Pharmacy

Secondary Practice Location 1

Location 1117 Spruce St EIlwaco, WA 98624-9174 · Phone (360) 642-3133 ext. 627 · Fax (360) 642-5133

Other Identifiers 4

Other50D2201997WA · Wa Clia
Other50D0957411WA · Wa Clia
OtherGAB10691WA · Noridian / Medicare
Medicaid6134001WA

Accepted Insurance

Areas of Expertise CMS Part B claims 5

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.
655 services650 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
620 services620 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
41 services41 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
15 services15 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
15 services15 patients

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 1255416038. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Ilwaco Pharmacy.

Where is Peninsula Pharmacies Inc located?

Peninsula Pharmacies Inc is located at 101 1st Ave South, 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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Peninsula Pharmacies Inc 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 50 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 July 7, 2021. 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.