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TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1871031559
Pharmacy - Community/Retail Pharmacy in Salisbury, MD

Active since February 02, 2017
100 E. CARROLL STREET, SUITE 1435A, SALISBURY, MD 21801(667) 330-1065(410) 438-1992 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2025, Jul 9, 2024, Feb 16, 2017 and 1 more (4 updates tracked since 2017).

About Tidalhealth Peninsula Regional, Inc. NPPES

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

TIDALHEALTH PENINSULA REGIONAL, INC. (NPI 1871031559), doing business as Tidalhealth Specialty Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Salisbury, Maryland and active in the NPI registry since February 2017. The organization lists John Jordan, Sr. Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1871031559
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location Address100 E. CARROLL STREET, SUITE 1435ASalisbury, MD 21801
Mailing Address1620 W. Northwest Hwy, Suite 100Grapevine, TX 76051 · (817) 572-0009 · Fax (817) 572-0221
Phone(667) 330-1065
Fax(410) 438-1992
Organization SubpartYes
Authorized OfficialJohn JordanSr. Director Of Pharmacy · (410) 749-2825
Enumeration DateFebruary 2, 2017
Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1871031559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
100 E. CARROLL STREET, Salisbury, MD 21801
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Other Names 1

Doing Business AsTidalhealth Specialty Pharmacy

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.

FERNANDO J. ACLE M.D.
Internal Medicine
100 E. CARROLL STREET, PRMC
SALISBURY, MD 21801
Wicomico County (410) 352-5527
USAMA BIN SHABBIR
Student in an Organized Health Care Education/Training Program
100 E. CARROLL STREET
SALISBURY, MD 21801
Wicomico County (410) 912-5882
DR. ANTHONY SETH ESHUN M.D.
Student in an Organized Health Care Education/Training Program
100 E. CARROLL STREET
SALISBURY, MD 21801
Wicomico County (410) 912-2913

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 1871031559. It was assigned to this organization in the NPPES registry on February 2, 2017. The provider is doing business as TidalHealth Specialty Pharmacy.

Where is Tidalhealth Peninsula Regional, Inc. located?

Tidalhealth Peninsula Regional, Inc. is located at 100 E. Carroll Street Suite 1435A, Salisbury, MD 21801. The listed phone number is (667) 330-1065.

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 45 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 December 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.