Sulco RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413412L Issued in PA

Legal business name

SULCO RX, LLC

Doing business as

Dushore Pharmacy

Practice address

220 S German St
Dushore, PA 18614-7891

Phone

(570) 928-8010

Fax

(570) 928-7036

NPI assigned

Jul 30, 2006

Last updated

Feb 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa KellerNPI 1740884204

Title

Owner

Phone

(570) 244-8674

Specialties & licenses 2

Addresses

Other names 1

• DUSHORE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Dushore Pharmacy2 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.

• Sulco RX, LLC

  dba Dushore Pharmacy

  • Long Term Care Pharmacy
  • Dushore, PA
  • NPI 1295590529
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Keller, PHARMD

  • Pharmacist
  • Dushore, PA
  • NPI 1740884204
  NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1790790392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "DUSHORE",
            "state": "PA",
            "postal_code": "186140314",
            "telephone_number": "570-928-8010",
            "fax_number": "570-928-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S GERMAN ST",
            "city": "DUSHORE",
            "state": "PA",
            "postal_code": "186147891",
            "telephone_number": "570-928-8010",
            "fax_number": "570-928-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULCO RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-244-8674"
    },
    "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": "PP413412L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUSHORE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DUSHORE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margery Gail Hinebaugh, D.C.
• Patrick Dean Homer
• Melissa Keller, PHARMD
• Jerome H Plastow, DMD
• Sulco RX, LLC (Dushore Pharmacy)

• Community/Retail Pharmacy in Dushore, PA
• Providers in Dushore, 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 Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.