East Brown Street Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP482449 Issued in PA

Legal business name

EAST BROWN STREET PHARMACY, INC

Practice address

364 N Courtland St
Suite 2
East Stroudsburg, PA 18301-1930

Phone

(570) 369-5833

Fax

(570) 872-9888

NPI assigned

May 13, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Riyadh A Abdul

Title

Organization Officer

Phone

(570) 872-9800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1144631102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 N COURTLAND ST",
            "address_2": "SUITE 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011930",
            "telephone_number": "570-369-5833",
            "fax_number": "570-872-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 N COURTLAND ST",
            "address_2": "SUITE 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011930",
            "telephone_number": "570-369-5833",
            "fax_number": "570-872-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BROWN STREET PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "ABDUL",
        "authorized_official_first_name": "RIYADH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORGANIZATION OFFICER",
        "authorized_official_telephone_number": "570-872-9800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eac Medical Services, LLC
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• Brian John Eames, PA-C
• Eileen M Early, CRNP
• East Brown Medical Associates
• East Penn Heart and Vascular Consultants, PC
• East Penn Rheumatology
• East Stroudsburg Area School District
• East Stroudsburg Counseling Associates LLC
• East Stroudsburg University

• Pharmacy in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.