Peninsula Pharmacy

Community/Retail Pharmacy Accepts Medicare


  
  1414 W Fair Ave, Suite 133, Marquette
Michigan, 49855-2675

 906-225-3902    906-226-2661
Peninsula Pharmacy is a Community/Retail Pharmacy in Marquette, Michigan. This pharmacy is owned and operated by Peninsula Pharmacy Inc. It is located at 1414 W Fair Ave, Suite 133, Marquette and it's customer support contact number is 906-225-3902. The authorized person of Peninsula Pharmacy is Mr. Tyler L Jenema, R.PH. who is President of the pharmacy and his contact number is 906-225-3902. Active license number of Peninsula Pharmacy is 5301010345 for Community/Retail Pharmacy in Michigan. Peninsula Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Peninsula Pharmacy is 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.


Pharmacy Details:
Peninsula Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Peninsula Pharmacy
Type: Community/Retail Pharmacy
Location:1414 W Fair Ave, Suite 133, Marquette,
Michigan, 49855-2675
Phone:906-225-3902
Fax:906-226-2661
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Mr. Tyler L Jenema
Credentials: R.PH.
Position: President
Contact Number: 906-225-3902
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1003807413
NPI Enumeration Date: 03 Nov, 2005
NPI Last Update On: 16 Nov, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peninsula Pharmacy are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 5301010345MichiganPrimary
Pharmacist 5301010345MichiganSecondary
Durable Medical Equipment & Medical Supplies 1199700001MichiganSecondary
Parenteral & Enteral Nutrition 1003807413MichiganSecondary
Home Infusion Therapy Pharmacy 5301010345MichiganSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1003807413OtherMichiganBcbs - Michigan
2357362OtherMichiganNcpdp
3409001MedicaidMichigan
Medicare Enrollment:
Peninsula Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
6709907553O20100930091074Peninsula Pharmacy IncDME SUPPLIER - PHARMACY
Products Available:
Peninsula Pharmacy has following products available for sale under medicare.
    Products
  • Prosthetic Lenses: Conventional Eyeglasses
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 1414 W Fair Ave, Suite 133
    Marquette, Michigan
    Zip: 49855-2675
    Phone Number: 906-225-3902
    Fax Number: 906-226-2661
    Patients can reach Peninsula Pharmacy at 1414 W Fair Ave, Suite 133, Marquette, Michigan or can call on customer care at 906-225-3902.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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