DR. WHITNIE SULLIVAN (NPI# 1659978708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659978708 |
| Entity Type | Individual |
| Full Name | DR. WHITNIE SULLIVAN |
| Credential | PHARM D |
| Practice Address |
1037 W 1700 S Syracuse UT 84075-9129 |
| Practice Telephone | 8016141299 |
| Mailing Telephone | 8016141299 |
| Mailing Fax Number | 8016141320 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9077532-1701 | UT | Pharmacy Service Providers |
| Street Address |
1037 W 1700 S |
| City | SYRACUSE |
| State | UT |
| Zip Code | 84075-9129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205841244 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1037 W 1700 S, Syracuse, UT 84075-9129 | 2006-07-29 |
| 1033490883 | Towa M Andelin | Pharmacist | 1037 W 1700 S, Syracuse, UT 84075-9129 | 2011-09-07 |
| 1205116910 | Steven Smedley | Pharmacist | 1037 W 1700 S, Syracuse, UT 84075-9129 | 2011-08-25 |
| 1164702882 | Edward M Olson | Pharmacist | 1037 W 1700 S, Syracuse, UT 84075-9129 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750775235 | Syracuse Assisted Living Phase I | Assisted Living Facility | 2063 W. 1900 S., Syracuse, UT 84075 | 2015-03-24 |
| 1881975464 | Norman Kent Sharp II | Dentist | 1662 S 2000 W Ste A1, Syracuse, UT 84075 | 2011-09-08 |
| 1245471705 | Ihc Health Services Inc | Family Medicine | 745 South 2000 West, Syracuse, UT 84075 | 2009-03-13 |
| 1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
| 1679799902 | Nathan Wesley Elmore | Chiropractor | 1842 South 2000 West, Syracuse, UT 84075 | 2007-04-17 |
| 1972635332 | Aspen Institute for Behavioral Assessment | Psychiatric Residential Treatment Facility | 2732 W 2700 S, Syracuse, UT 84075 | 2007-03-12 |
| 1427111558 | Sheldon L Peck | Dentist | 1747 S Heritage Lane, Suite A3, Syracuse, UT 84075 | 2006-12-19 |
| 1811081771 | Tyler R Elmore | Chiropractor | 1013 W 2700 S, Syracuse, UT 84075 | 2006-10-03 |
| 1235247438 | Brett R Coleman | Dentist | 780 S 2000 W, Bldg E304, Syracuse, UT 84075 | 2006-08-28 |
| 1164431177 | Kipton Jay Norris | Dentist | 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 | 2006-08-07 |
| Find all providers in zip 84075 | ||||
| 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 |
|---|---|---|---|---|
| 1154979102 | Kourtnei-rae Lorraine Gondeck | Pharmacist | 6040 Tarbell Rd Ste 103, Syracuse, NY 13206-1348 | 2019-09-03 |
| 1972155265 | Daniel Faliy | Pharmacist | 406 Butternut St, Syracuse, NY 13208-2627 | 2019-07-16 |
| 1932688272 | Tori Rachel Hoffman | Pharmacist | 792 N Main St Ste 200c, Syracuse, NY 13212-1673 | 2018-08-08 |
| 1912375395 | Kama Thomas | Pharmacist | 1237 E Genesee St, Apt 1, Syracuse, NY 13210-1977 | 2015-09-02 |
| 1588052021 | Cory Ryan Villanueva | Pharmacist | 329 N Salina St Ste P, Syracuse, NY 13203-1755 | 2015-01-07 |
| 1932483781 | Toni Marie Hammer | Pharmacist | 1405 East Genesee St, Syracuse, NY 13210 | 2011-09-28 |
| 1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
| 1366767725 | Ramesh A Shah | Pharmacist | 22 Turnstone Cir, Syracuse, NY 13219-1555 | 2010-03-29 |
| 1871817197 | Steven M St.onge | Pharmacist | 349 Clairmonte Ave, Syracuse, NY 13207-1306 | 2010-03-15 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| Find all providers in SYRACUSE | ||||
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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.