POCONO COMMUNITY PHARMACY INC NPI 1629580311

NPI Information

  • NPI: 1629580311
  • Provider Name: POCONO COMMUNITY PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: POCONO COMMUNITY PHARMACY INC
  • CLIA Number: 39D2235765
  • Address: 1656 ROUTE 209 UNIT 6
    BRODHEADSVILLE, PA
    ZIP 18322
  • Phone: (570) 801-7886

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NPI Details

POCONO COMMUNITY PHARMACY INC is a community/retail pharmacy pharmacy in Brodheadsville, PA. The provider is 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. POCONO COMMUNITY PHARMACY INC NPI is 1629580311. The provider is registered as an organization entity type.
The provider Is Doing Business As Pocono Community Pharmacy Inc.

The provider's business location address is:

1656 ROUTE 209 UNIT 6
BRODHEADSVILLE, PA
ZIP 18322-819
Phone: (570) 801-7886
Fax: (267) 457-3225

The provider's authorized official is Umesh Patel .
The authorized official title is President and has the following contact phone number (484) 274-5428.

The CLIA number assigned to this NPI record is 39D2235765 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2017 and was last updated on 7/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPP482757PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12172263OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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