Active NPI
CB Pharmacy Inc
- Community/Retail Pharmacy
- East Stroudsburg, PA
National Provider Identifier
1104167253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP482300
- Legal business name
- CB PHARMACY INC
- Practice address
- 5216 Milford Rd
Suit # 118
East Stroudsburg, PA 18302-8347 - Phone
- (570) 431-4994
- Fax
- (570) 431-4944
- NPI assigned
- Mar 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chiranjivi Jannu
- Title
- Pharmacy Manager
- Phone
- (646) 673-0044
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP482300 | PA | Primary |
Addresses
Primary practice location
5216 Milford Rd
Suit # 118
East Stroudsburg, PA 18302-8347
Mailing address
5216 Milford Rd
Suit # 118
East Stroudsburg, PA 18302-8347
Phone (570) 431-4994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2139406 | Other | PK |
Other names 1
- Good Health Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370476800000",
"number": "1104167253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5216 MILFORD RD",
"address_2": "SUIT # 118",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183028347",
"telephone_number": "570-431-4994",
"fax_number": "570-431-4944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5216 MILFORD RD",
"address_2": "SUIT # 118",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183028347",
"telephone_number": "570-431-4994",
"fax_number": "570-431-4944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CB PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-13",
"last_updated": "2013-06-06",
"status": "A",
"authorized_official_last_name": "JANNU",
"authorized_official_first_name": "CHIRANJIVI",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "646-673-0044"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP482300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2139406",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Good Health Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.