Active NPI
Surehealth LTC Pharmacy
- Mail Order Pharmacy
- Wilkes Barre, PA
National Provider Identifier
1962444737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- Legal business name
- SUREHEALTH LTC PHARMACY
- Practice address
- 175 S Wilkes Barre Blvd
Ste B
Wilkes Barre, PA 18702-5040 - Phone
- (570) 208-4721
- Fax
- (570) 208-4726
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Messina, RPH
- Title
- President and Ceo
- Phone
- (570) 271-7285
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP415549L | PA | |
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X | Primary |
Addresses
Primary practice location
175 S Wilkes Barre Blvd
Ste B
Wilkes Barre, PA 18702-5040
Mailing address
100 N Academy Ave
Danville, PA 17822-2415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3976149 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 1011380740001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Surehealth LTC LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Danville, PA
- NPI 1538194519
Locations
175 S Wilkes Barre Blvd
Ste B
Wilkes Barre, PA 18702
Phone (570) 208-4721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1962444737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178222415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S WILKES BARRE BLVD",
"address_2": "STE B",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187025040",
"telephone_number": "570-208-4721",
"fax_number": "570-208-4726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUREHEALTH LTC PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MESSINA",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "570-271-7285",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP415549L",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3976149",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011380740001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.