340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
DSH210019 TIDALHEALTH PENINSULA REGIONAL INC (Active)
Print
Main Details
Name
TIDALHEALTH PENINSULA REGIONAL INC
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH210019
Medicare Provider Number
210019
Additional Details
Current Program Status
Active
Registration Date
4/4/2017
Participating Start Date
3/15/2022
Participating Approval Date
6/8/2017
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
TidalHealth
John Jordan, Senior Director of Pharmacy
(410) 543-7054
Primary Contact
TidalHealth Peninsula Regional
Daehak Yim, 340B coordinator
(410) 543-7585
Addresses
Street Address
100 EAST CARROLL STREET
SALISBURY, MD 21801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session