PENINSULA PHARMACY
NPI 1710920079
Pharmacy - Community/Retail Pharmacy in San Pedro, CA
About Peninsula Pharmacy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINSULA PHARMACY (NPI 1710920079) is a healthcare organization registered as a community/retail pharmacy in San Pedro, California and active in the NPI registry since June 2006. The organization lists Shahram Elie, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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.
Other Names 1
Other Identifiers 2
Accepted Insurance
Medical Equipment Supplier Medicare DMEPOS
Medicare supplier enrollment and the product categories Peninsula Pharmacy carries, from the Medicare DMEPOS supplier directory.
Peninsula Pharmacy
DMEPOS supplier · San Pedro, CAAccepts Medicare assignment
Peninsula Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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's NPI number?
The NPI number for Peninsula Pharmacy is 1710920079. It was assigned to this organization in the NPPES registry on June 14, 2006.
Where is Peninsula Pharmacy located?
Peninsula Pharmacy is located at 1294 W 6th St Ste 100, San Pedro, CA 90731. The listed phone number is (310) 833-3535.
What is Peninsula Pharmacy's specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.
Does Peninsula Pharmacy accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Peninsula Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Peninsula Pharmacy 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 49 other insurers list Peninsula Pharmacy 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 was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.