Organization Active NPI

CB Pharmacy Inc

  • Community/Retail Pharmacy
  • East Stroudsburg, PA
National Provider Identifier
1104167253
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482300 Issued in PA
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

Updated by the provider on Jun 6, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2139406OtherPK

Other names 1

  • Good Health Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.