MICHAEL ROBERT SULLIVAN (NPI# 1689927915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689927915 |
| Entity Type | Individual |
| Full Name | MICHAEL ROBERT SULLIVAN |
| Practice Address |
41 Buena Vista St Stamford CT 06907-2402 |
| Practice Telephone | 2033169270 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PCT.0008488 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918617 | Michael David Sullivan | Social Worker | 403 1/2 Hector St, Ithaca, NY 14850-2025 | 2018-10-15 |
| 1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
| 1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
| 1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
| 1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
| 1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
| 1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
| 1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
| 1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
| 1588899066 | Michael Sullivan II | Physical Therapy Assistant | 617 Se 5th St, Delray Beach, FL 33483-5222 | 2009-05-27 |
| Street Address |
41 BUENA VISTA ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06907-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154633980 | Stamford Health Medical Group, Inc. | Family Medicine | One Omega Drive, Building 3, 2nd Floor, Stamford, CT 06907 | 2010-07-09 |
| 1831272459 | Marietta Soulog Vergara | Internal Medicine | 743 Hope St, Stamford, CT 06907 | 2006-10-24 |
| 1073637724 | Greenwich Hospital | General Acute Care Hospital | 2015 West Main Street, Stanford, CT 06907 | 2007-03-19 |
| 1427092618 | Francis H. Kors | Anesthesiology | 34 Friars Ln, Stamford, CT 06907-1017 | 2006-06-16 |
| 1437532975 | Julie Costello | Pharmacist | 134 Prudence Dr, Stamford, CT 06907-1219 | 2015-07-01 |
| 1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
| 1154504736 | Tracey Ann Trecartin Reed | Nurse Practitioner | 28 Sterling Pl, Stamford, CT 06907-1335 | 2007-12-06 |
| 1942436381 | Erika Laverick | Speech-Language Pathologist | 78 Hidden Brook Dr, Stamford, CT 06907-1415 | 2009-05-29 |
| 1265876064 | Christina A Rowe | Registered Nurse | 14 River Pl, Apt 3, Stamford, CT 06907-1426 | 2013-04-23 |
| 1912113440 | Elissa H Stein | Counselor | 666 Glenbrook Rd, Stamford, CT 06907-1439 | 2007-05-14 |
| Find all providers in zip 06907 | ||||
| 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 |
|---|---|---|---|---|
| 1659833762 | Stephanie Ramirez | Pharmacist | 1938 W Main St, Stamford, CT 06902-4521 | 2019-04-05 |
| 1306333299 | Alimole Pharmd & Associates | Pharmacist | 167 Grove St, Stamford, CT 06901-1837 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1164056776 | Kelly A Frazier | Pharmacist | 2 Stonemeadow Ln, Collinsville, CT 06019-3733 | 2020-02-24 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1225697865 | Kristin Waters | Pharmacist | 55 York St, New Haven, CT 06511-5653 | 2019-06-07 |
| 1679131924 | Alex Robert Dozier | Pharmacist | 340 Pumpkin Hill Rd, Ledyard, CT 06339-1947 | 2019-06-02 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1063079358 | Noura Jeblawi | Pharmacist | 11 Saint John St Unit C11, North Haven, CT 06473-2371 | 2019-05-22 |
| 1710498589 | Brandon Kyle Martinez | Pharmacist | 200 Andrews Way Apt 206, South Windsor, CT 06074-6995 | 2017-10-19 |
| 1558663377 | Sukhvir Kaur | Pharmacist | 229 Trumbull St, Hartford, CT 06103-1501 | 2010-11-30 |
| 1124331756 | Myla Anderson | Pharmacist | 293 3rd Ave, West Haven, CT 06516-5404 | 2010-07-25 |
| 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.