NPIMap

Organization Active NPI

Stroud Compounding and Wellness Drugstore, Corp

  • Health Service Clinic/Center
  • Stroudsburg, PA
National Provider Identifier
1376815951
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
STROUD COMPOUNDING AND WELLNESS DRUGSTORE, CORP
Practice address
7400 Route 611
Suite 3
Stroudsburg, PA 18360-8384
Phone
(570) 476-6936
Fax
(570) 476-6938
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. James Chikwanha, PHARM DNPI 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

7400 Route 611
Suite 3
Stroudsburg, PA 18360-8384

Mailing address

7400 Route 611
Suite 3
Stroudsburg, PA 18360-8384
Phone (570) 476-6936

Other names 1

  • Stroud Compounding and Wellness Pharmacy, Inc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1376815951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 ROUTE 611",
            "address_2": "SUITE 3",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183608384",
            "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": "7400 ROUTE 611",
            "address_2": "SUITE 3",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183608384",
            "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": "2012-01-30",
        "last_updated": "2012-01-30",
        "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",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stroud Compounding and Wellness Pharmacy, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 30, 2012; 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.