Active NPI
Shivanee Forde
- Pharmacy Technician
- East Stroudsburg, PA
National Provider Identifier
1154232890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PI128014
- Practice address
- 695 N Courtland St
East Stroudsburg, PA 18301-1926 - Phone
- (570) 424-8065
- NPI assigned
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PI128014 | PA | Primary |
Addresses
Primary practice location
695 N Courtland St
East Stroudsburg, PA 18301-1926
Mailing address
1421 Waterfront Dr
Tobyhanna, PA 18466-3684
Phone (570) 445-7529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1154232890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 WATERFRONT DR",
"city": "TOBYHANNA",
"state": "PA",
"postal_code": "184663684",
"telephone_number": "570-445-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 N COURTLAND ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183011926",
"telephone_number": "570-424-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORDE",
"first_name": "SHIVANEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PA",
"license": "PI128014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.