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THE VACCINE SHOPPE, LLC
NPI 1194470682
Non-Pharmacy Dispensing Site in Pittston, PA

Active since February 14, 2022
205 BUTLER ST, PITTSTON, PA 18640(570) 762-9132 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Vaccine Shoppe, Llc NPPES

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

THE VACCINE SHOPPE, LLC (NPI 1194470682) is a healthcare organization registered as a non-pharmacy dispensing site in Pittston, Pennsylvania and active in the NPI registry since February 2022. The organization lists Jude Polit-moran, President, as its authorized official.

NPPES Registry Identity

NPI1194470682
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTHE VACCINE SHOPPE, LLC
Location Address205 BUTLER STPittston, PA 18640
Mailing Address205 Butler StPittston, PA 18640 · (570) 762-9132
Phone(570) 762-9132
Organization SubpartNo
Authorized OfficialJude Polit-moranPresident · (570) 718-8406
Enumeration DateFebruary 14, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1194470682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
205 BUTLER ST, Pittston, PA 18640
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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 The Vaccine Shoppe, LLC's NPI number?

The NPI number for The Vaccine Shoppe, LLC is 1194470682. It was assigned to this organization in the NPPES registry on February 14, 2022.

Where is The Vaccine Shoppe, LLC located?

The Vaccine Shoppe, LLC is located at 205 Butler St, Pittston, PA 18640. The listed phone number is (570) 762-9132.

What is The Vaccine Shoppe, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for The Vaccine Shoppe, LLC was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.