POCONO COMMUNITY PHARMACY INC (NPI# 1629580311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629580311 |
| Entity Type | Organization |
| Organization Name | POCONO COMMUNITY PHARMACY INC |
| Other Organization Name | POCONO COMMUNITY PHARMACY INC |
| Practice Address |
1656 Route 209 Unit 6 Brodheadsville PA 18322-7819 |
| Mailing Address |
1656 Route 209 Unit 6 Pleasant Valley Plaza Brodheadsville PA 18322-7819 |
| Practice Telephone | 5708017886 |
| Practice Fax Number | 2674573225 |
| Mailing Telephone | 5708017886 |
| Mailing Fax Number | 2674573225 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | UMESH PATEL (PRESIDENT) |
| Authorized Official Telephone | 4842745428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482757 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2172263 | 01 |
| Other Name | Type Code |
|---|---|
| POCONO COMMUNITY PHARMACY INC | Doing Business As Name - Organization |
| Street Address |
1656 ROUTE 209 UNIT 6 |
| City | BRODHEADSVILLE |
| State | PA |
| Zip Code | 18322-7819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1275165136 | Jennifer Pagan | Specialist/Technologist | 575 Marion Lane, Brodheadsville, PA 18322 | 2020-02-09 |
| 1922577634 | Kristen Rudelitch | Pharmacist | 924 Weir Lake Rd, Brodheadsville, PA 18322 | 2018-11-26 |
| 1295204915 | Dale A. Mcfarland | Pharmacist | Rt 209 & Weir Lake Road, Brodheadsville, PA 18322 | 2018-11-26 |
| 1831640770 | Marina Ann Reggetto-irizarry | Physician Assistant | 111 Route 715 Ste 102, Brodheadsville, PA 18322 | 2016-10-15 |
| 1144770033 | Joseph Keglovits IIi | Pharmacist | 1707 Route 209, Brodheadsville, PA 18322 | 2016-10-04 |
| 1629454624 | Katherine Sparrow | Chiropractor | 1807 Route 209, Brodheadsville, PA 18322 | 2015-08-03 |
| 1740548049 | Catherine A Chincola | Health Educator | Route 209 and Weir Lake Road, Brodheadsville, PA 18322 | 2012-04-25 |
| 1396036679 | Doris M Lane | Pharmacist | Rt S 209 & 115, Brodheadsville, PA 18322 | 2011-04-21 |
| 1982995361 | Richard C Quigley | Pharmacist | Routes 209/115, Brodheadsville, PA 18322 | 2011-04-20 |
| Find all providers in zip 18322 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619002938 | Kinsleys Market of Tannersville Inc | Pharmacy | 107 Kinsley Dr, Brodheadsville, PA 18322-7800 | 2007-02-23 |
| 1376558924 | Sandts Pharmacy | Pharmacy | Rt 209 Monroe Plaza, Brodheadsville, PA 18322 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | BRODHEADSVILLE |
| Zip Code | 18322 |
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| 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.