SRURA PHARMACY LLC NPI 1104247022

NPI Information

  • NPI: 1104247022
  • Provider Name: SRURA PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: THE MEDICINE SHOPPE PHARMACY
  • Address: 69 N MARKET ST
    NANTICOKE, PA
    ZIP 18634
  • Phone: (570) 735-2300

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NPI Details

SRURA PHARMACY LLC is a community/retail pharmacy pharmacy in Nanticoke, PA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SRURA PHARMACY LLC NPI is 1104247022. The provider is registered as an organization entity type.
The provider Is Doing Business As The Medicine Shoppe Pharmacy.

The provider's business location address is:

69 N MARKET ST
NANTICOKE, PA
ZIP 18634-553
Phone: (570) 735-2300
Fax: (570) 258-2036

The provider's authorized official is Jaimin Patel .
The authorized official title is Manager and has the following contact phone number (706) 331-5959.

The enumeration date for this NPI number is 12/18/2013 and was last updated on 11/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPP412356LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12145152OTHERPK
21029143750001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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