TAYLOR JEAN SULLIVAN (NPI# 1073004263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073004263 |
| Entity Type | Individual |
| Full Name | TAYLOR JEAN SULLIVAN |
| Practice Address |
617 Warren St Hudson NY 12534-2813 |
| Practice Telephone | 5188289469 |
| Mailing Telephone | 5188289469 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
063424 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134692759 | Taylor Nichole Sullivan | Physician Assistant | 125 N Franklin Dr Ste 1, Washington, PA 15301-5892 | 2019-01-07 |
| 1144738253 | Taylor Mckenzie Sullivan | Student in an Organized Health Care Education/Training Program | 419 Highway 52 Byp W, Lafayette, TN 37083-1758 | 2018-01-11 |
| 1346759529 | Taylor Shae Sullivan | Behavior Technician | 1133 College Ave Ste E230, Manhattan, KS 66502-2818 | 2017-09-20 |
| 1285169805 | Taylor Nichole Sullivan | Behavior Technician | 1600 Jason Maxwell Blvd, Lewisburg, TN 37091-2018 | 2017-04-21 |
| 1912368192 | Taylor Anne Sullivan | Specialist/Technologist | 421 N Woodland Blvd, Unit 8284, Deland, FL 32723-8300 | 2016-03-15 |
| Street Address |
617 WARREN ST |
| City | HUDSON |
| State | NY |
| Zip Code | 12534-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932203692 | Cvs Albany LLC | Pharmacy | 617 Warren St, Hudson, NY 12534-2813 | 2006-09-12 |
| 1376945527 | Kerry E Bowman | Pharmacist | 617 Warren St, Hudson, NY 12534-2813 | 2014-09-18 |
| 1780906073 | Marilynn O'dell | Pharmacist | 617 Warren St, Hudson, NY 12534-2813 | 2010-02-27 |
| 1275711855 | Julie Hoy | Pharmacist | 617 Warren St, Hudson, NY 12534-2813 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426446 | Sharyn Ann Flesher | Registered Nurse | 131 Union Turnpike, Columbia-greene Education Center, Hudson, NY 12534 | 2015-05-08 |
| 1205239233 | Rachel N Lopez | Nurse Practitioner | 67 Prospect Avenue, Suite 250, Hudson, NY 12534 | 2014-10-05 |
| 1649601535 | Joan Delisca Groll | Registered Nurse | 215 Harry Howard Avenue, Hudson, NY 12534 | 2013-12-03 |
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1366751653 | Carri Coons | Licensed Practical Nurse | 140 Maple Lane Lot 85, Husdon, NY 12534 | 2010-10-04 |
| 1013244185 | Richard B Weininger | Internal Medicine | 125 Millbrook Road, Hudson, NY 12534 | 2009-11-11 |
| 1417196155 | Triform Enterprises Ltd. | Day Training, Developmentally Disabled Services | 20 Triform Road, Hudson, NY 12534 | 2009-02-19 |
| 1881854966 | Foot Specialist Associates P.C. | Podiatrist | 540 Joslen Boulevard, Hudson, NY 12534 | 2008-06-12 |
| 1659558989 | Gary L Stoller | Dentist | 5 Mckinstry Pl, Hudson, NY 12534 | 2008-01-29 |
| 1255523502 | Pulcher & Sacco Inc | Bus | 469 Fairview Ave, Hudson, NY 12534 | 2007-08-10 |
| Find all providers in zip 12534 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760775563 | William Harold Wiggins | Pharmacist | 12029 Majestic Blvd, Suite 8, Hudson, FL 34667-2468 | 2011-05-26 |
| 1396982773 | Mcjt Pharmaceutical Care, Inc | Pharmacist | 161 Hickman Ave, Hudson, NC 28638-2449 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241794 | Erika Modh | Pharmacist | 6220 11th Ave, Brooklyn, NY 11219-5204 | 2020-09-29 |
| 1457990657 | Hina Khawaja | Pharmacist | 24 E 24th St, Huntington Station, NY 11746-3702 | 2020-01-06 |
| 1508411810 | Michael Richard Izzo | Pharmacist | 104 Reservoir Rd, Little Falls, NY 13365-5924 | 2019-08-04 |
| 1306498100 | Cerris Chung | Pharmacist | 320 E 94th St # 3f, New York, NY 10128-5604 | 2019-07-11 |
| 1558922419 | Jennifer Sophia Orozco | Pharmacist | 1275 York Ave # 710, New York, NY 10065-6007 | 2019-06-21 |
| 1558846014 | Lisa Chu | Pharmacist | 14634 23rd Ave, Whitestone, NY 11357-3514 | 2018-10-01 |
| 1841772514 | Salvatore Oreste | Pharmacist | 32 Alder Dr, Kings Park, NY 11754-2202 | 2018-08-30 |
| 1184138885 | B&t Port Richmond Pharmacy Inc. | Pharmacist | 251 Port Richmond Ave, Staten Island, NY 10302-1704 | 2017-11-17 |
| 1922510072 | Robert O'connell | Pharmacist | 3840 211th St Fl 2, Bayside, NY 11361-1956 | 2017-10-30 |
| 1427577048 | Fawzieh Mourtada | Pharmacist | Rite Aid, 540 West 235th Street, Bronx, NY 10643 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
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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.