Peninsula Pharmacy is an authorized DME supplier for medicare equipments and products.
Peninsula Pharmacy is a Community/Retail Pharmacy in San Pedro, California. It is located at 1294 W 6th St Ste 100, San Pedro and it's customer support contact number is 310-833-3535. The authorized person of Peninsula Pharmacy is Shahram Elie, RPH who is President of the pharmacy and his contact number is 310-833-3535. Active license number of Peninsula Pharmacy is PHY36626 for Community/Retail Pharmacy in California. 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:
1294 W 6th St Ste 100, San Pedro, California, 90731-2997
Phone:
310-833-3535
Fax:
310-833-9124
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:
Shahram Elie
Credentials:
RPH
Position:
President
Contact Number:
310-833-3535
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:
1710920079
NPI Enumeration Date:
14 Jun, 2006
NPI Last Update On:
19 Jul, 2018
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.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHY36626
California
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PHA3662460
Medicaid
California
1993007
Other
Pk
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 Name
Medicare Entity Type
5890814453
O20100930039734
Peninsula Pharmacy
DME SUPPLIER - PHARMACY
Products Available:
Peninsula Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1294 W 6th St Ste 100, San Pedro, California
Zip:
90731
Phone Number:
310-833-3535
Fax Number:
310-833-9124
Patients can reach Peninsula Pharmacy at 1294 W 6th St Ste 100, San Pedro, California or can call on customer care at 310-833-3535.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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