PENINSULA COMMUNITY HEALTH SERVICES


Address: 2508 Wheaton Way, Bremerton, WA 98310-3303
Phone: 3606163131

PENINSULA COMMUNITY HEALTH SERVICES (NPI# 1912277062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912277062
Entity Type Organization
Organization Name PENINSULA COMMUNITY HEALTH SERVICES
Other Organization Name PENINSULA COMMUNITY HEALTH SERVICES PHARMACY - BREMERTON -WH
Practice Address 2508 Wheaton Way
Bremerton
WA 98310-3303
Mailing Address Po Box 960
Bremerton
WA 98337-0212
Practice Telephone 3606163131
Practice Fax Number 3606163130
Mailing Telephone 3604782366
Mailing Fax Number 3603732096
Enumeration Date 2012-01-06
Last Update Date 2018-07-19
Authorized Official Name JENNIFER KREIDLER-MOSS (CEO)
Authorized Official Telephone 3604782833
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHAR.CF.60262155 WA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1912277062 05
PK 2133311 01

Other Provider/Organization Names

Other Name Type Code
Peninsula Community Health Services Pharmacy - Bremerton -Wh Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235759879 Peninsula Community Health Services Counselor 4841 Auto Center Way Ste 203, Bremerton, WA 98312-4388 2020-04-23
1356995534 Peninsula Community Health Services Counselor 2650 Ne John Carlson Rd, Bremerton, WA 98311-3928 2019-07-26
1407400682 Peninsula Community Health Services Counselor 8107 Central Valley Rd Ne, Bremerton, WA 98311-9155 2019-07-26
1942861000 Peninsula Community Health Services Counselor 3100 Nw Bucklin Hill Rd Ste 202, Silverdale, WA 98383-8362 2019-06-27
1770062242 Peninsula Community Health Services Clinic/Center 300 E Campus Dr, Belfair, WA 98528-8307 2018-08-07
1528547940 Peninsula Community Health Services Dentist 19705 Viking Avenue Nw, Suite 201 Bldg A, Poulsbo, WA 98370-8351 2018-08-07
1528517216 Peninsula Community Health Services Family Medicine 31 Ne State Route 300, Suite 200, Belfair, WA 98528-8611 2016-09-23
1760617997 Peninsula Community Health Services Pharmacy 19917 7th Ave Ne Ste 205, Suite 205, Poulsbo, WA 98370-6555 2009-05-18
1457990509 Peninsula Community Health Services Clinic/Center 616 6th St, Bremerton, WA 98337-1420 2020-01-06
1053950832 Peninsula Community Health Services Nurse Practitioner 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 2019-12-27

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PENINSULA COMMUNITY HEALTH SERVICES 400 Warren Ave Suite 200, Bremerton, WA 98337-1467
System for Award Management (SAM) Entities PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. 230 E Marydale Ave Ste 3, Soldotna, AK 99669-7648

Office Location

Street Address 2508 WHEATON WAY
City BREMERTON
State WA
Zip Code 98310-3303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568446128 Jean Marie Riquelme Family Medicine 2508 Wheaton Way, Bremerton, WA 98310-3303 2005-12-06
1790263366 Hannah Whitney Bishop Nurse Practitioner 2508 Wheaton Way, Bremerton, WA 98310-3303 2018-08-05
1417447830 Kristen Sara Sylvester Nurse Practitioner 2508 Wheaton Way, Bremerton, WA 98310-3303 2018-05-10
1033645049 Donna Rachael Horton Nurse Practitioner 2508 Wheaton Way, Bremerton, WA 98310-3303 2017-05-11
1245683705 Lauren Menard Nurse Practitioner 2508 Wheaton Way, Bremerton, WA 98310-3303 2016-07-20
1821405762 Adriana Taseva Family Medicine 2508 Wheaton Way, Bremerton, WA 98310-3303 2014-07-11
1659712842 Kristoffer Alan Tacub Valenzuela Family Medicine 2508 Wheaton Way, Bremerton, WA 98310-3303 2013-07-16
1639458441 Erica Aragon Bottai Physician Assistant 2508 Wheaton Way, Bremerton, WA 98310-3303 2011-08-10
1407148497 Peninsula Community Health Services Counselor 2508 Wheaton Way, Bremerton, WA 98310-3303 2011-05-09
1144544867 Sharon Penny Lynne Ishihara Nurse Practitioner 2508 Wheaton Way, Bremerton, WA 98310-3303 2010-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891333613 Miss Mary Community Development Voluntary or Charitable 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 2019-12-11
1629636055 Puget Sound Work Injury Clinic, LLC Clinic/Center 812 Cherry Ct, Bremerton, WA 98310 2019-05-31
1538672530 Rachel E Mittelstaedt Parsons Dietitian, Registered 3059 Viewcrest Dr Ne, Bremerton, WA 98310 2017-11-13
1356888937 Sarah Hike Community Health Worker 900 Sheridan, Bremerton, WA 98310 2017-01-20
1073941142 Hana Singer Physical Therapy Assistant 3600 Forest Dr Ne, Bremerton, WA 98310 2013-10-28
1447508122 Kevin Lee Hathaway Mechanotherapist 3308 Veska Avenue, Bremerton, WA 98310 2012-08-28
1003163007 James Hyun Soo Lee Surgery Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 2012-08-08
1487936241 Karen S Casseday Nurse Practitioner 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 2011-09-16
1740560572 Lauren P Foresman Physician Assistant 2709 Hemlock Street, Bremerton, WA 98310 2011-08-24
1538390059 Patricia L Rushon Speech-Language Pathologist 560 Lebo Blvd., Bremerton, WA 98310 2009-07-31
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285274886 Amcare Pharmacy 2900 Wheaton Way, Bremerton, WA 98310-3452 2020-01-10
1770066896 Jarrod Samuel Bigelow Pharmacy 1 Boone Road, Bremerton, WA 98312-1898 2018-09-14
1770606139 Apothecary Shoppe Pharmacy Pharmacy 2500 Cherry Ave, Suite Number 101, Bremerton, WA 98310-4202 2007-04-09
1487662391 Peninsula Community Health Services Pharmacy 616 6th St, Bremerton, WA 98337-1420 2006-08-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700493533 Doctors Pharmacy, LLC Pharmacy 65 Columbia Point Dr, Richland, WA 99352-4375 2020-09-25
1871105999 Whidbey Island Public Hospital District Pharmacy 7 Ne Birch St, Coupeville, WA 98239-3132 2020-08-19
1710504550 Kayshuv Enterprises Pharmacy 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 2020-06-27
1811511454 Kaiser Foundation Health Plan of Washington Pharmacy 189 Telegraph Rd, Bellingham, WA 98226-8079 2020-05-29
1548883630 Capsule Seattle LLC Pharmacy 2033 6th Ave Ste 120, Seattle, WA 98121-2526 2020-05-22
1063048197 Peninsula Pharmacies Inc Long Beach Pharmacy Annex Pharmacy 110 Oregon Ave S, Long Beach, WA 98631 2020-03-20
1174155345 Kaiser Foundation Health Plan of Washington Pharmacy 2335 172nd Street Ne, Marysville, WA 98271 2020-02-06
1245861996 Salish Integrative Medicine, Inc Pharmacy 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 2020-01-31
1700417854 Prosser Southgate Pharmacy Inc Pharmacy 207 Canyon Drive, Prosser, WA 99350-1009 2020-01-28
1700423639 Venkateswara LLC Pharmacy 515 Minor Ave Ste 120, Seattle, WA 98104-2138 2019-12-10
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Competitor

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City BREMERTON
Zip Code 98310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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