Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Vaccine Shoppe, LLC

Organization Non-Pharmacy Dispensing Site · NPI 1194470682

The Vaccine Shoppe, LLC is a Non-Pharmacy Dispensing Site in Pittston, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

205 Butler St
Pittston, PA 18640
Phone: (570) 762-9132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1194470682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jude Polit-Moran — President · (570) 718-8406
NPI enumeratedFebruary 14, 2022
Last updated in NPPESFebruary 14, 2022
Certification dateJanuary 31, 2022
Mailing address205 Butler St, Pittston, PA 18640