Polish American Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

POLISH AMERICAN PHARMACY LLC

Doing business as

Polish American Pharmacy

Practice address

1545 N 9TH St Ste 150
Stroudsburg, PA 18360-6505

Phone

(347) 514-0294

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Agnieszka LasakNPI 1811540636

Title

Owner/Pharmacist

Phone

(347) 514-0294

Specialties & licenses 1

Addresses

Other names 1

• Polish American Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Agnieszka Malgorzata Lasak

  • Pharmacist
  • Stroudsburg, PA
  • NPI 1811540636
  NPD Authorized official
• John G Giacalone, DC

  • Chiropractor
  • Stroudsburg, PA
  • NPI 1649207317
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1578305306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LOCUST LN",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668053",
            "telephone_number": "347-514-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N 9TH ST STE 150",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606505",
            "telephone_number": "347-514-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISH AMERICAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "LASAK",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "347-514-0294",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polish American Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.