| NPI | 1134652902 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2017-04-07 |
| Last Updated | 2025-09-19 |
| Authorized Official | Venugopal Narramneni PRESIDENT/DIRECTOR Phone: 5704216789 |
| Mailing Address | 300 Commerce Blvd, Suite # 130 Stroudsburg, PA 18360 United States Phone: (570) 421-6789 | Fax: (570) 421-9992 📍 View Map |
| Primary Practice Address | 300 Commerce Blvd Ste 130 Stroudsburg, PA 18360-6215 United States Phone: (570) 421-6789 | Fax: (570) 421-9992 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 1033143120001 | — |
| Other (non-Medicare) | — | 2169385 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | PA | PP482715 |
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About NPI 1134652902
Pocono Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1134652902. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Stroudsburg, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-04-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134652902?
NPI 1134652902 belongs to Pocono Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Stroudsburg, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134652902 active?
The current status of NPI 1134652902 in the NPPES registry is Active. The record was last updated on 2025-09-19.
What specialty is NPI 1134652902?
NPI 1134652902 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134652902?
You can verify NPI 1134652902 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134652902?
The primary practice address on file for NPI 1134652902 is 300 Commerce Blvd Ste 130, Stroudsburg, PA 18360-6215. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134652902 issued?
NPI 1134652902 was first issued (enumerated) on 2017-04-07. The NPPES record was last updated on 2025-09-19.
Practice Location Map
Pocono Pharmacy Inc is located at 300 Commerce Blvd Ste 130, Stroudsburg, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pocono Pharmacy Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134652902. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PP482715 | PA |