Tidalhealth Peninsula Regional, Inc.
NPI 1255153680ActiveOrganization· Pharmacy, Clinic Pharmacy· Salisbury, MD
Pharmacy, Clinic Pharmacy in Salisbury, Maryland, registered in NPPES in October 2024, part of Tidalhealth Peninsula Regional, Inc. The authorized official on file is William Clifford Cooper, P.D., Director Of Ambulatory Pharmacy.
Overview
| NPI | 1255153680 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tidalhealth Peninsula Regional, Inc. |
| NPI issued | Oct 28, 2024 |
| Last updated in NPPES | Oct 28, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | — | — |
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 |
|---|