New Peninsula Pharmacy Escanaba LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NEW PENINSULA PHARMACY ESCANABA LLC

Practice address

2500 7TH Ave S Ste 200
Escanaba, MI 49829-1176

Phone

(906) 384-5900

NPI assigned

Feb 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyler J Jenema, PHARMD

Title

Member

Phone

(906) 225-3902

Specialties & licenses 1

Addresses

Other names 1

• Peninsula Pharmacy Escanaba Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Paul Hruska, R.PH.

  • Pharmacist
  • Marquette, MI
  • NPI 1386208775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1841054343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 7TH AVE S STE 200",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291176",
            "telephone_number": "906-384-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 7TH AVE S STE 200",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291176",
            "telephone_number": "906-384-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PENINSULA PHARMACY ESCANABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "JENEMA",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "906-225-3902",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Pharmacy Escanaba",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Mykkanen
• Mary Frances Myrick, MD
• Sarah Jean Nault, P.T.
• Chastity Nelson
• Michaela Jo Nelson, PMHNP
• Amy K Nielsen, D.O.
• Kevin Noel, DC
• Sara Rachel Nordin
• Northern Homecare Services
• Northern Michigan Emergency Physicians, LLP

• Long Term Care Pharmacy in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.