Organization Active NPI

Stroud Compounding and Wellness Drugstore Corp

  • Community/Retail Pharmacy
  • Stroudsburg, PA
National Provider Identifier
1366500431
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481651 Issued in PA
Legal business name
STROUD COMPOUNDING AND WELLNESS DRUGSTORE CORP
Doing business as
Stroud Compounding and Wellness Drugstore, Corp
Practice address
1619 N 9TH St
Ste 3
Stroudsburg, PA 18360-6501
Phone
(570) 476-6936
Fax
(570) 476-6938
NPI assigned
Dec 4, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
James ChikwanhaNPI 1285200683
Title
Owner
Phone
(570) 476-6936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481651 PA Primary
Mail Order Pharmacy 3336M0002X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1619 N 9TH St
Ste 3
Stroudsburg, PA 18360-6501

Mailing address

1619 N 9TH St
Ste 3
Stroudsburg, PA 18360-6501
Phone (570) 476-6936

Other identifiers 2

IdentifierTypeStateIssuer
2136912OtherPK
1027704260001MedicaidPA

Other names 1

  • Stroud Compounding and Wellness Drugstore, Corp Doing business as

National Provider Directory

National Provider Directory

Locations

1619 N 9th St
Ste 3
Stroudsburg, PA 18360
Phone (570) 476-6936

823 Ann St
Stroudsburg, PA 18360
Phone (570) 476-6936

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1366500431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N 9TH ST",
            "address_2": "STE 3",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606501",
            "telephone_number": "570-476-6936",
            "fax_number": "570-476-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N 9TH ST",
            "address_2": "STE 3",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606501",
            "telephone_number": "570-476-6936",
            "fax_number": "570-476-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROUD COMPOUNDING AND WELLNESS DRUGSTORE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-09-19",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "CHIKWANHA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-476-6936"
    },
    "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": "PP481651",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136912",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027704260001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stroud Compounding and Wellness Drugstore, Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.