LEHIGH VALLEY HOSPITAL POCONO
NPI 1104561091
Pharmacy - Community/Retail Pharmacy in Dickson City, PA

Active since May 04, 2022CLIA 39D2255772 · Waiver
330 MAIN ST, DICKSON CITY, PA 18519(570) 330-5180(570) 330-5024 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2024, Mar 16, 2023, May 4, 2022 (3 updates tracked since 2022).

About Lehigh Valley Hospital Pocono NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEHIGH VALLEY HOSPITAL POCONO (NPI 1104561091) is a healthcare organization registered as a community/retail pharmacy in Dickson City, Pennsylvania and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Robert Thomas, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1104561091
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLEHIGH VALLEY HOSPITAL POCONO
Location Address330 MAIN STDickson City, PA 18519-1691
Mailing Address330 Main StDickson City, PA 18519-1691 · (570) 330-5180 · Fax (570) 330-5024
Fax(570) 330-5024
Organization SubpartYes
Authorized OfficialRobert ThomasChief Accounting Officer · (484) 884-0901
Enumeration DateMay 4, 2022
Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
NPI 1104561091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X
330 MAIN ST, Dickson City, PA 18519

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2255772

Lehigh Valley Hospital-Dickson City · Dickson City, PA
Active · expires Mar 16, 2028
CLIA Number39D2255772
Laboratory TypeHospital
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorDr. Ryan Cristelli
Laboratory Phone(484) 425-8215
Laboratory LocationLehigh Valley Hospital-Dickson City330 Main Street, Dickson City, PA 18519
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
330 MAIN ST
DICKSON CITY, PA 18519
Physician Assistant
330 MAIN ST
DICKSON CITY, PA 18519
General Acute Care Hospital
330 MAIN ST
DICKSON CITY, PA 18519
Anesthesiology
330 MAIN ST
DICKSON CITY, PA 18519
Nurse Anesthetist, Certified Registered
330 MAIN ST
DICKSON CITY, PA 18519
Family Medicine
330 MAIN ST
DICKSON CITY, PA 18519
Physical Therapy Assistant
330 MAIN ST
DICKSON CITY, PA 18519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lehigh Valley Hospital Pocono's NPI number?

The NPI number for Lehigh Valley Hospital Pocono is 1104561091. It was assigned to this organization in the NPPES registry on May 4, 2022.

Where is Lehigh Valley Hospital Pocono located?

Lehigh Valley Hospital Pocono is located at 330 Main St, Dickson City, PA 18519. The listed phone number is (570) 330-5180.

What is Lehigh Valley Hospital Pocono's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Lehigh Valley Hospital Pocono hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2255772) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lehigh Valley Hospital Pocono accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 37 other insurers list Lehigh Valley Hospital Pocono as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lehigh Valley Hospital Pocono was last updated on October 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.