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

The Vaccine Shoppe, LLC

Organization Case Management Agency · NPI 1336895796

The Vaccine Shoppe, LLC is a Case Management Agency in Pittston, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
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

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Case Management Agency Taxonomy 251B00000X
Clinic/Center Taxonomy 261Q00000X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1336895796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sami Lynn Panek — Manager · (570) 762-9132
NPI enumeratedFebruary 24, 2022
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 12, 2022
Mailing address200 York Ave, West Pittston, PA 18643-2435

Other providers in Pittston