Healthcare Provider Details

I. General information

NPI: 1962444737
Provider Name (Legal Business Name): SUREHEALTH LTC PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S WILKES BARRE BLVD STE B
WILKES BARRE PA
18702-5040
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-2415
US

V. Phone/Fax

Practice location:
  • Phone: 570-208-4721
  • Fax: 570-208-4726
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP415549L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES MESSINA
Title or Position: PRESIDENT AND CEO
Credential: RPH
Phone: 570-271-7285