TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1851795017
Pharmacy - Community/Retail Pharmacy in Berlin, MD

Active since October 17, 2014
11101 CATHAGE RD, BERLIN, MD 21811(410) 543-4769(410) 543-4770 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Apr 8, 2024, Oct 27, 2020 and 1 more (4 updates tracked since 2015).

About Tidalhealth Peninsula Regional, Inc. NPPES

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

TIDALHEALTH PENINSULA REGIONAL, INC. (NPI 1851795017), doing business as Tidalhealth Community Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Berlin, Maryland and active in the NPI registry since October 2014. The organization lists Kevin J Johnson, Director Of Ambulatory Pharmacy Svc, as its authorized official.

NPPES Registry Identity

NPI1851795017
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location Address11101 CATHAGE RDBerlin, MD 21811
Mailing Address11101 Cathage RdBerlin, MD 21811-2115 · (410) 543-4769 · Fax (410) 543-4770
Fax(410) 543-4770
Organization SubpartNo
Authorized OfficialKevin J JohnsonDirector Of Ambulatory Pharmacy Svc · (410) 543-7745
Enumeration DateOctober 17, 2014
Last NPPES UpdateMarch 2, 20264 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1851795017 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 · P06935
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.
11101 CATHAGE RD, Berlin, MD 21811

Other Names 2

Doing Business AsTidalhealth Community Pharmacy
Other NameTidalhealth Home Scripts

Other Identifiers 1

Other2153648Pk

Accepted Insurance

Areas of Expertise CMS Part B claims 2

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.
333 services328 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
301 services298 patients

Other Providers at the Same Location NPPES 8

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

Pharmacist
11101 CATHAGE RD
BERLIN, MD 21811
Nurse Practitioner (Family)
11101 CATHAGE RD
BERLIN, MD 21811
Psychiatry & Neurology (Psychiatry)
11101 CATHAGE RD
BERLIN, MD 21811
Nurse Practitioner (Family)
11101 CATHAGE RD
BERLIN, MD 21811
Clinic/Center (Adult Mental Health)
11101 CATHAGE RD, UNIT 102
BERLIN, MD 21811
Nurse Practitioner (Family)
11101 CATHAGE RD
BERLIN, MD 21811
Physician Assistant
11101 CATHAGE RD
BERLIN, MD 21811
Family Medicine
11101 CATHAGE RD
BERLIN, MD 21811

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 1851795017. It was assigned to this organization in the NPPES registry on October 17, 2014. 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 11101 Cathage Rd, Berlin, MD 21811. The listed phone number is (410) 543-4769.

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., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 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.