Peninsula Pharmacy Escanaba LLC
Peninsula Pharmacy Escanaba LLC is a healthcare organization registered as Community/Retail Pharmacy in Escanaba, MI, holding Type 2 (organization) NPI 1619408424 since 2017. The authorized official on file is Tyler Jenema, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619408424 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Peninsula Pharmacy Escanaba LLC |
| Other name | <Unavail> |
| Practice address | 2500 7TH AVE S, STE 200, Escanaba, MI, 49829 |
| Phone | 9062253902 |
| Fax | 9062262661 |
| Enumeration date | 2017-03-23 |
| Last updated in NPPES | 2022-11-16 |
Authorized official
| Name | Tyler Jenema |
|---|---|
| Title | President |
| Phone | 9062253902 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0002X | Clinic Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Peninsula Pharmacy Escanaba LLC NPI: 1619408424 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2500 7TH AVE S, STE 200, Escanaba, MI, 49829
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295736114 | Al Romero | Individual | Family Medicine Physician | Escanaba, MI |
| 1952396285 | Toni Buckbee | Individual | Physician Assistant | Escanaba, MI |
| 1184681256 | Marquette General Hospital, Inc. | Organization | Family Medicine Physician | Escanaba, MI |
| 1437174604 | Patricia Webber | Individual | Psychiatric/Mental Health Nurse Practitioner | Escanaba, MI |
| 1285767509 | Paul R Gayeff Od PC | Organization | Optometrist | Escanaba, MI |
| 1275759813 | Donald J. Pfotenhauer DDS PC | Organization | General Practice Dentistry | Escanaba, MI |
| 1972720746 | Kristopher Pfotenhauer | Individual | Endodontics | Escanaba, MI |
| 1841459781 | Leann Bink | Individual | Clinical Social Worker | Escanaba, MI |
Verify this record
Cross-check NPI 1619408424 against the authoritative CMS record: view Peninsula Pharmacy Escanaba LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Peninsula Pharmacy Escanaba LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-11-16.