DR. DAVID CLAY SULLIVAN (NPI# 1003197625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003197625 |
| Entity Type | Individual |
| Full Name | DR. DAVID CLAY SULLIVAN |
| Credential | PHARM D |
| Practice Address |
107 High St Danvers MA 01923-3113 |
| Practice Telephone | 9787620049 |
| Practice Fax Number | 9787623116 |
| Mailing Telephone | 9787620049 |
| Mailing Fax Number | 9787623116 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 25997 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966966 | David Lee Sullivan Jr. | Case Manager/Care Coordinator | 513 Cannons Ln, Louisville, KY 40207-3645 | 2018-06-20 |
| 1154856987 | David Sullivan | Massage Therapist | 100 N Grape St Apt 303, Medford, OR 97501-3151 | 2017-04-30 |
| 1053733253 | David Sullivan | Contractor | 2823 Glover Carlton Rd, Perry, FL 32348-7640 | 2014-01-08 |
| 1023359312 | David Sullivan | Dentist | 5833 Phyliss Ln, Mint Hill, NC 28227-9031 | 2013-03-11 |
| 1952550402 | David Sullivan | Counselor | 2955 Valmont Rd Ste 110, Boulder, CO 80301-1360 | 2008-09-09 |
| 1558573956 | David E Sullivan | Social Worker | 704 Marketview Ct, Fayetteville, NC 28301-4868 | 2007-05-06 |
| 1467670026 | David Dell Sullivan | Physical Therapist | 499 Casey Way, Grand Junction, CO 81504-6281 | 2007-04-20 |
| 1578692760 | David Matthew Sullivan | Chiropractor | 104 Biddle Ave, Suite G, Harrison, OH 45030-2528 | 2007-03-05 |
| 1073648671 | David Joseph Sullivan | Optometrist | 276 S Hollywood Blvd, Steubenville, OH 43952-2422 | 2007-02-22 |
| 1033276837 | David Michael Sullivan | Dentist | 5177 N Bend Rd, Cincinnati, OH 45211-1900 | 2007-01-02 |
| Street Address |
107 HIGH ST |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336154541 | Walgreen Co | Pharmacy | 107 High St, Danvers, MA 01923-3113 | 2006-07-29 |
| 1174135826 | Ekramy Khair | Pharmacist | 107 High St, Danvers, MA 01923-3113 | 2020-08-22 |
| 1356625420 | Michele Lejeune | Pharmacist | 107 High St, Danvers, MA 01923-3113 | 2011-10-06 |
| 1831472604 | Deb Genawese | Pharmacist | 107 High St, Danvers, MA 01923-3113 | 2011-09-27 |
| 1568744019 | Clare Marquis-rutkowski | Pharmacist | 107 High St, Danvers, MA 01923-3113 | 2011-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881971802 | Gerald Collings | Pharmacist | 47 Elm Street, Danvers, MA 01923 | 2011-11-04 |
| 1275765141 | Tuyet Van Thuy Vu | Pharmacist | 80 Locust St, Danvers, MA 01923-2200 | 2009-08-11 |
| 1174135826 | Ekramy Khair | Pharmacist | 107 High St, Danvers, MA 01923-3113 | 2020-08-22 |
| 1356951727 | Conor Gerald Mcgladrigan | Pharmacist | 102 Endicott Street, Pharmacy Department, Danvers, MA 01923 | 2020-07-31 |
| 1508475195 | Christina C Kenis-ambrose | Pharmacist | 102 Endicott St, Danvers, MA 01923-3623 | 2020-07-29 |
| 1184265936 | Brenna Lee Rowen | Pharmacist | 102 Endicott St, Danvers, MA 01923-3623 | 2019-10-03 |
| 1487127809 | Michelle Li | Pharmacist | 11 Newbury St, Danvers, MA 01923-1014 | 2019-01-08 |
| 1366924771 | Edward Tchernaia | Pharmacist | 11 Newbury St, Danvers, MA 01923-1014 | 2018-08-31 |
| 1316435217 | Olga Gomatos | Pharmacist | 111 Hobart St, Danvers, MA 01923-1944 | 2018-04-25 |
| 1285007286 | Ka Man Yu | Pharmacist | 240 Independence Way, Danvers, MA 01923-3653 | 2015-11-12 |
| Find all providers in DANVERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.