Surehealth LTC LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PP415549L Issued in PA

Legal business name

SUREHEALTH LTC LLC

Doing business as

SureHealth LTC Pharmacy

Practice address

100 N Academy Ave
MC 24-15
Danville, PA 17822-9800

Phone

(570) 271-7965

Fax

(570) 271-7370

NPI assigned

Jul 11, 2006

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

SUREHEALTH LLCAs reported in NPPES

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

Authorized official

Name

Mr. James M Messina

Title

President/Ceo

Phone

(570) 271-7285

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SureHealth LTC Pharmacy Doing business as

Tax ID family

Surehealth LTC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Surehealth LTC Pharmacy

  • Mail Order Pharmacy
  • Wilkes Barre, PA
  • NPI 1962444737
  NPD tax ID

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1538194519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "MC 24-15",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178222415",
            "telephone_number": "570-271-7965",
            "fax_number": "570-271-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "MC 24-15",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-7965",
            "fax_number": "570-271-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUREHEALTH LTC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUREHEALTH LLC",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MESSINA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "570-271-7285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP415549L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101138074-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACE",
            "identifier": "0397614",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SureHealth LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chichun Emily Sun, D.O.
• Agnes Sweetlin Hepsibah Sundaresan, M.D.
• Frederick S. Sunderlin Jr., M.D.
• Brian A Supsic, CRNA
• Deepti Surampudi, DO
• Vineet Suryadevara, MD
• Susquehanna Valley Home Health Care
• Darshan Suthar, D.O.
• Elisabeth A. Sutherland, PA-C
• Ann Marie C. Sutton, PA-C

• Long Term Care Pharmacy in Danville, PA
• Providers in Danville, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.