Peninsula Pharmacies Inc Long Beach Pharmacy Annex
NPI 1063048197ActiveOrganization· Pharmacy, Compounding Pharmacy· Long Beach, WA
Pharmacy, Compounding Pharmacy in Long Beach, Washington, registered in NPPES in March 2020, part of Peninsula Pharmacies Inc. The authorized official on file is Jeffrey Shane Harrell, PHARM D, President.
Overview
| NPI | 1063048197 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Peninsula Pharmacies Inc. |
| NPI issued | Mar 20, 2020 |
| Last updated in NPPES | Jan 19, 2026 |
| Certified by provider | Jan 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|