JEFFREY P SULLIVAN (NPI# 1194843128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194843128 |
| Entity Type | Individual |
| Full Name | JEFFREY P SULLIVAN |
| Credential | PHARMD |
| Practice Address |
310 Sunnyview Ln Kalispell MT 59901-3129 |
| Mailing Address |
1261 Foxtail Dr Kalispell MT 59901-7795 |
| Practice Telephone | 4067521761 |
| Practice Fax Number | 4067563528 |
| Mailing Telephone | 4067558612 |
| Mailing Fax Number | 4067563528 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 2958 | WY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 15036 | NV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 5811 | MT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083791057 | Jeffrey Allen Sullivan | Chiropractor | 294 Torbett St, Richland, WA 99354-2664 | 2006-11-01 |
| 1114215266 | Jeffrey M Sullivan | Counselor | 2219 Sawdust Rd Ste 1101, Spring, TX 77380 | 2011-07-11 |
| 1376845891 | Jeffrey N Sullivan | Pharmacist | 13308 Meridian E, Puyallup, WA 98373-5612 | 2010-12-03 |
| 1356484331 | Jeffrey H Sullivan | Internal Medicine | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-02-15 |
| Street Address |
310 SUNNYVIEW LN |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115678 | Harley John Brotherton II | Pharmacist | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2005-09-20 |
| 1619584216 | Maren Erpelding | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2020-09-28 |
| 1679186795 | John Harrison | Speech-Language Pathologist | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2020-08-28 |
| 1871129296 | Melanie Greyn Fretwell | Dietitian, Registered | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2020-03-17 |
| 1558992198 | Laura Pierson | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2020-02-02 |
| 1366009466 | Noelle Lynn Baldwin | Speech-Language Pathologist | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2019-05-23 |
| 1821560079 | Dorothy Ann Campbell | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2018-12-28 |
| 1851866552 | Tiana Pallister | Genetic Counselor, MS | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-10-09 |
| 1447738125 | Courtney Rudbach | Counselor | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-08-03 |
| 1467948737 | Jennifer L Schaffner | Social Worker | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| 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 |
|---|---|---|---|---|
| 1639610231 | Laurie Daugharty | Pharmacist | 286 Dern Draw, Kalispell, MT 59901-7139 | 2017-03-15 |
| 1033530290 | Renee Wilkonski-larson | Pharmacist | 55 1st Ave En, Kalispell, MT 59901-4001 | 2013-12-13 |
| 1184055725 | John Wisher | Pharmacist | 195 3rd Avenue, Kalispell, MT 59901-4109 | 2013-12-09 |
| 1629407739 | Jason Williams | Pharmacist | 195 3rd Ave En, Kalispell, MT 59901 | 2013-11-08 |
| 1306199302 | Shelly Rae Cottrell | Pharmacist | 2330 Hwy. 93 N, Kalispell, MT 59901 | 2012-10-16 |
| 1942557244 | Terry L Roth | Pharmacist | 2330 Hwy 93 N, Kalispell, MT 59901 | 2012-08-07 |
| 1629343694 | Matthew Jay Fauth | Pharmacist | 2330 Highway 93 North, Kalispell, MT 59901 | 2012-03-09 |
| 1942582697 | Kevin Mielke | Pharmacist | 2150 Us Highway 93 S, Kalispell, MT 59901-5782 | 2011-09-19 |
| 1376865220 | Britt Kanter | Pharmacist | 245 Lasalle Rd, Kalispell, MT 59901 | 2010-02-19 |
| 1215259148 | Colleen Ann Parks | Pharmacist | 2024 Highway 2 East, Kalispell, MT 59901 | 2010-02-19 |
| Find all providers in KALISPELL | ||||
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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.