NPIMap

Organization Active NPI

Pocono Medical Center

  • Institutional Pharmacy
  • East Stroudsburg, PA
National Provider Identifier
1881810778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
POCONO MEDICAL CENTER
Practice address
206 E Brown St
East Stroudsburg, PA 18301-3006
Phone
(570) 421-4000
Fax
(570) 420-4948
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edward Walsh
Title
Cfo, Vice-President Finance
Phone
(570) 421-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X Primary

Addresses

Primary practice location

206 E Brown St
East Stroudsburg, PA 18301-3006

Mailing address

206 E Brown St
East Stroudsburg, PA 18301-3006
Phone (570) 421-4000

Other identifiers 1

IdentifierTypeStateIssuer
1007723970013MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Pocono General Surgery28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881810778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-421-4000",
            "fax_number": "570-420-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-421-4000",
            "fax_number": "570-420-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CFO, VICE-PRESIDENT FINANCE",
        "authorized_official_telephone_number": "570-421-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007723970013",
            "state": "PA"
        }
    ],
    "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 Aug 22, 2020; 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.