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Peninsula Pharmacy Inc.

Long Term Care Pharmacy in Marquette, MI · enumerated 2018 · authorized official Praveen Challa, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366943995

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Registry record

Entity type Organization (Type 2)
Legal business name Peninsula Pharmacy Inc.
Other name <Unavail>
Practice address 1414 W Fair Ave Ste 133, Marquette, MI, 49855
Enumeration date Feb 28, 2018
Last updated in NPPES Dec 18, 2024

Taxonomy & classification

3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name Praveen Challa
Title Owner

Other identifiers

Identifier Type State Issuer
3408990 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-12-18. Verify at npiregistry.cms.hhs.gov.
Where is Peninsula Pharmacy Inc. located?
The practice location on file with NPPES is in Marquette, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-18.