Pocono Community Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482757 Issued in PA

Legal business name

POCONO COMMUNITY PHARMACY INC

Doing business as

POCONO COMMUNITY PHARMACY INC

Practice address

1656 Route 209 Unit 6
Brodheadsville, PA 18322-7819

Phone

(570) 801-7886

Fax

(267) 457-3225

NPI assigned

Nov 2, 2017

Organization subpart

No

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

Authorized official

Name

Umesh Patel

Title

President

Phone

(484) 274-5428

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• POCONO COMMUNITY PHARMACY INC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1629580311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 ROUTE 209 UNIT 6",
            "address_2": "PLEASANT VALLEY PLAZA",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227819",
            "telephone_number": "570-801-7886",
            "fax_number": "267-457-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 ROUTE 209 UNIT 6",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227819",
            "telephone_number": "570-801-7886",
            "fax_number": "267-457-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-274-5428"
    },
    "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": "PP482757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2172263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POCONO COMMUNITY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Barbara Purcell-Clark

• Community/Retail Pharmacy in Brodheadsville, PA
• Providers in Brodheadsville, 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 Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.