THE VACCINE SHOPPE, LLC
NPI 1336895796
Clinic/Center - Community Health in Pittston, PA

Active since February 24, 2022
205 BUTLER STREET, PITTSTON, PA 18640(570) 762-9132 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 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 1336895796) is a healthcare organization registered as a community health in Pittston, Pennsylvania and active in the NPI registry since February 2022. The organization lists Sami Lynn Kristin Panek, Manager, as its authorized official.

NPPES Registry Identity

NPI1336895796
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameTHE VACCINE SHOPPE, LLC
Location Address205 BUTLER STREETPittston, PA 18640
Mailing Address200 York AveWest Pittston, PA 18643-2435
Organization SubpartNo
Authorized OfficialSami Lynn Kristin PanekManager · (570) 762-9132
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 12, 2022
NPI 1336895796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
205 BUTLER STREET, Pittston, PA 18640

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 1336895796. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is The Vaccine Shoppe, LLC located?

The Vaccine Shoppe, LLC is located at 205 Butler Street, 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 Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for The Vaccine Shoppe, LLC was last updated on February 24, 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.