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DR. STEPHEN JOHN SULLIVAN PHARMD. NPI 1164956421


NPI Information

NPI: 1164956421
Provider Name: DR. STEPHEN JOHN SULLIVAN, PHARMD.
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
5955 ZEAMER AVE # 673MDG
JBER, AK
ZIP 99506
Phone: (907) 580-3012
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DR. Stephen John Sullivan, PHARMD. is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Jber, AK. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Stephen John Sullivan, PHARMD. NPI is 1164956421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5955 ZEAMER AVE # 673MDG
JBER, AK
ZIP 99506-702
Phone: (907) 580-3012

The enumeration date for this NPI number is 4/13/2017 and was last updated on 3/18/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRP00008628NEW MEXICOYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.