Srura Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412356L Issued in PA

Legal business name

SRURA PHARMACY LLC

Practice address

69 N Market St
Nanticoke, PA 18634-1553

Phone

(570) 735-2300

Fax

(570) 258-2036

NPI assigned

Dec 18, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaimin Patel

Title

Manager

Phone

(706) 331-5959

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey T. Swanberry, RPH

  • Pharmacist
  • Nanticoke, PA
  • NPI 1972055846
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1104247022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 N MARKET ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341553",
            "telephone_number": "570-735-2300",
            "fax_number": "570-258-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 N MARKET ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341553",
            "telephone_number": "570-735-2300",
            "fax_number": "570-258-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRURA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAIMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-331-5959"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412356L",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029143750001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145152",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rakesh K Sharma, M.D.
• Joshua Shaver
• Kathleen Ann Smith, RPH
• Nisha Spence, MA, NCC, LPC
• Spotanskis Pharmacy Inc
• Madison K Stashak
• Step by Step Inc
• Erika Stetz
• Jeffrey T. Swanberry, RPH
• Tae I Shynn

• Community/Retail Pharmacy in Nanticoke, PA
• Providers in Nanticoke, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.