THOMAS S. SULLIVAN M.S. R.PH. BCNSP NPI 1477547933

NPI Information

  • NPI: 1477547933
  • Provider Name: THOMAS S. SULLIVAN, M.S., R.PH., BCNSP
  • Classification: Pharmacist - 1835N1003X
  • Specialization: Nutrition Support
  • Entity Type: Individual
  • Address: 21230 DEQUINDRE RD
    WARREN, MI
    ZIP 48091
  • Phone: (586) 880-2483

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NPI Details

Thomas S. Sullivan, M.S., R.PH., BCNSP is a nutrition support pharmacist in Warren, MI. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. Thomas S. Sullivan, M.S., R.PH., BCNSP NPI is 1477547933. 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:

21230 DEQUINDRE RD
WARREN, MI
ZIP 48091-279
Phone: (586) 880-2483

The enumeration date for this NPI number is 9/9/2005 and was last updated on 4/7/2022.

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
1183500000XPharmacist5302025761MICHIGANNo
21835N1003XPharmacistNutrition Support5302025761MICHIGANYes

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: 11/21/2025

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