TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1285069617
Pharmacy - Community/Retail Pharmacy in Salisbury, MD

Active since September 04, 2013
100 E CARROLL ST, SALISBURY, MD 21801(410) 543-4798(410) 543-4799 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2026, Oct 28, 2020 (2 updates tracked since 2020).

About Tidalhealth Peninsula Regional, Inc. NPPES

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

TIDALHEALTH PENINSULA REGIONAL, INC. (NPI 1285069617), doing business as Tidalhealth Community Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Salisbury, Maryland and active in the NPI registry since September 2013. The organization lists Kevin J Johnson, Director Of Ambulatory Pharmacy Svc, as its authorized official.

NPPES Registry Identity

NPI1285069617
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location Address100 E CARROLL STSalisbury, MD 21801-5422
Mailing Address100 E Carroll St Ste 1492Salisbury, MD 21801-5422 · (410) 543-4798 · Fax (410) 543-4799
Fax(410) 543-4799
Organization SubpartNo
Authorized OfficialKevin J JohnsonDirector Of Ambulatory Pharmacy Svc · (410) 543-7745
Enumeration DateSeptember 4, 2013
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1285069617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MD · P06040
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.
100 E CARROLL ST, Salisbury, MD 21801

Other Names 2

Doing Business AsTidalhealth Community Pharmacy
Other NameTidalhealth Home Scripts

Other Identifiers 1

Other2142289Pk

Accepted Insurance

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.

Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Pediatrics (Neonatal-Perinatal Medicine)
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Speech-Language Pathologist
100 E CARROLL ST
SALISBURY, MD 21801
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Nurse Practitioner
100 E CARROLL ST
SALISBURY, MD 21801
Internal Medicine
100 E CARROLL ST, INPATIENT SERVICES
SALISBURY, MD 21801
Emergency Medicine
100 E CARROLL ST
SALISBURY, MD 21801

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 Tidalhealth Peninsula Regional, Inc.'s NPI number?

The NPI number for Tidalhealth Peninsula Regional, Inc. is 1285069617. It was assigned to this organization in the NPPES registry on September 4, 2013. The provider is doing business as TidalHealth Community Pharmacy. The provider is also known as TIdalHealth Home Scripts.

Where is Tidalhealth Peninsula Regional, Inc. located?

Tidalhealth Peninsula Regional, Inc. is located at 100 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 543-4798.

What is Tidalhealth Peninsula Regional, Inc.'s specialty?

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

What insurance does Tidalhealth Peninsula Regional, Inc. accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 30 other insurers list Tidalhealth Peninsula Regional, 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 Tidalhealth Peninsula Regional, Inc. was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.