LINDA SULLIVAN (NPI# 1548535156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548535156 |
| Entity Type | Individual |
| Full Name | LINDA SULLIVAN |
| Practice Address |
2855 Broadway St Ne Salem OR 97303-6502 |
| Practice Telephone | 5033912433 |
| Mailing Telephone | 5033912433 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0011495 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949509 | Linda Huttig Sullivan | Nurse Practitioner | 499 Winter St, North Andover, MA 01845-1414 | 2017-08-25 |
| 1770869976 | Linda Jean Sullivan | Registered Nurse | 28 Ingrassia Rd, Middletown, NY 10940-7244 | 2011-11-01 |
| 1164714929 | Linda S. Sullivan | Pharmacist | 2101 E. Sante Fe St., Olathe, KS 66062 | 2011-05-11 |
| 1932425089 | Linda Jane Sullivan | Family Medicine | 1350 E Walnut St, Seguin, TX 78155-5126 | 2010-04-14 |
| 1639298540 | Linda Sullivan | Nurse Practitioner | 210 Government St, Mobile, AL 36602-2614 | 2007-03-29 |
| 1942364153 | Linda Sullivan | Physical Therapist | 369 Grand Valley Blvd, Martinsville, IN 46151-5851 | 2006-12-21 |
| 1548799802 | Linda Marina Sullivan | Registered Nurse | 401 5th Ave, Ste 1000, Seattle, WA 98104-1818 | 2017-06-08 |
| 1952616807 | Linda Christine Sullivan | Registered Nurse | 11 Maple Ave, Farmingdale, NY 11735-4617 | 2010-08-16 |
| 1750416004 | Linda L Sullivan | Registered Nurse | 4315 Diplomacy Dr, Attn Sherry Reedy, Anchorage, AK 99508-5926 | 2007-02-23 |
| 1326180712 | Linda M Sullivan | Nurse Practitioner | 1633 Physicians Dr, Tallahassee, FL 32308-4620 | 2007-02-13 |
| Street Address |
2855 BROADWAY ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97303-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568407096 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 2855 Broadway St Ne, Salem, OR 97303-6502 | 2006-06-18 |
| 1457801227 | Julie Lynne Miller Van Otterloo | Pharmacist | 2855 Broadway St Ne, Salem, OR 97303-6502 | 2016-10-05 |
| 1568865111 | Megan Pokorny | Pharmacist | 2855 Broadway St Ne, Salem, OR 97305 | 2014-09-26 |
| 1245595891 | Edward Lee Holland | Pharmacist | 2855 Broadway St Ne, Salem, OR 97303-6502 | 2012-07-10 |
| 1710251210 | Kyle R Elwood | Pharmacist | 2855 Broadway St Ne, Salem, OR 97303-6502 | 2012-03-01 |
| 1144594052 | Chad S Miller | Pharmacist | 2855 Broadway St Ne, Salem, OR 97303-6502 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| 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 |
|---|---|---|---|---|
| 1194356493 | Katherine Janssen | Pharmacist | 875 Oak St Se # 1090, Salem, OR 97301-3975 | 2020-01-27 |
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1982263141 | Darla York | Pharmacist | 502 Highway 62 W, Salem, AR 72576-8400 | 2019-06-11 |
| 1083182372 | Virgil A Guthrie | Pharmacist | 648 Thompson Ave Ne, Salem, OR 97301-2753 | 2018-11-05 |
| 1538645262 | Joo Hyeon Kim | Pharmacist | 3509 Commercial St Se Ste 3507, Salem, OR 97302-3829 | 2018-07-16 |
| 1578086021 | Courtney Parker | Pharmacist | 25 Pelham Rd Ste 104, Salem, NH 03079-4872 | 2017-07-17 |
| 1710359476 | Albert Folsom | Pharmacist | 2757 22nd St Se, Salem, OR 97302-1553 | 2015-10-21 |
| 1558799312 | Tamara Dean Mccollum | Pharmacist | 7 Harbour View Dr, Salem, SC 29676-4513 | 2013-10-14 |
| 1790027431 | Rebecca Cauble Marshall | Pharmacist | #3 Public Square, Salem, IN 47167-9430 | 2013-03-20 |
| 1346587300 | Caitlin Laucka Paarlberg | Pharmacist | 2360 Foxfield Ln, Salem, VA 24153-4740 | 2013-01-10 |
| Find all providers in SALEM | ||||
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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.