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PENINSULA PHARMACY
NPI 1366943995
Pharmacy - Long Term Care Pharmacy in Marquette, MI

Active since February 28, 2018
1414 W FAIR AVE STE 133, MARQUETTE, MI 49855(906) 225-3902 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Nov 16, 2022, Feb 28, 2018 (3 updates tracked since 2018).

About Peninsula Pharmacy NPPES

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

PENINSULA PHARMACY (NPI 1366943995) is a healthcare organization registered as a long term care pharmacy in Marquette, Michigan and active in the NPI registry since February 2018. The organization lists Praveen J Challa, Owner, as its authorized official.

NPPES Registry Identity

NPI1366943995
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePENINSULA PHARMACY INC.
Location Address1414 W FAIR AVE STE 133Marquette, MI 49855-5408
Mailing Address1414 W Fair Ave Ste 133Marquette, MI 49855-5408 · (906) 225-3902
Phone(906) 225-3902
Organization SubpartNo
Authorized OfficialPraveen J ChallaOwner · (906) 225-3902
Enumeration DateFebruary 28, 2018
Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1366943995 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.
1414 W FAIR AVE STE 133, Marquette, MI 49855
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Other Names 1

Doing Business AsPeninsula Pharmacy

Other Identifiers 1

Medicaid3408990MI

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 ›

Other Providers at the Same Location NPPES 3

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

MS. NATALIE L SMITH PHARM D.
Pharmacist
1414 W FAIR AVE STE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902
GABRIELLE SMITH PHARMD
Pharmacy (Community/Retail Pharmacy)
1414 W FAIR AVE STE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902
RAJESH RANGA RPH
Pharmacist
1414 W FAIR AVE STE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902

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 Inc.'s NPI number?

The NPI number for Peninsula Pharmacy Inc. is 1366943995. It was assigned to this organization in the NPPES registry on February 28, 2018. The provider is doing business as Peninsula Pharmacy.

Where is Peninsula Pharmacy Inc. located?

Peninsula Pharmacy Inc. is located at 1414 W Fair Ave Ste 133, Marquette, MI 49855. The listed phone number is (906) 225-3902.

What is Peninsula Pharmacy Inc.'s specialty?

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

What insurance does Peninsula Pharmacy 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 39 other insurers list Peninsula Pharmacy 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 Pharmacy Inc. was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.