KAITLYN MARIE SULLIVAN (NPI# 1710477062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710477062 |
| Entity Type | Individual |
| Full Name | KAITLYN MARIE SULLIVAN |
| Credential | PHARMD |
| Practice Address |
738 Little Deer Creek Valley Rd Russellton PA 15076-1333 |
| Mailing Address |
9810 Presidential Dr Apt 107 Allison Park PA 15101-1806 |
| Practice Telephone | 7242651632 |
| Practice Fax Number | 7242651120 |
| Mailing Telephone | 8149529237 |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP452064 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1036260510001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124440276 | Kaitlyn Sullivan | Contractor | 1363 Veterans Memorial Hwy Ste 8, Hauppauge, NY 11788-3046 | 2014-01-08 |
| Street Address |
738 LITTLE DEER CREEK VALLEY RD |
| City | RUSSELLTON |
| State | PA |
| Zip Code | 15076-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730350711 | Tiffany Leigh Cozzo | Specialist/Technologist | 163 East Union Road, Russelton, PA 15076 | 2008-03-18 |
| 1104999127 | William J Petitto | Dentist | 719 Main Street, Russellton, PA 15076 | 2006-11-16 |
| 1760565576 | James J Graham | Dentist | 733 Little Deer Creek Rd, Russellton, PA 15076 | 2006-10-23 |
| 1629026745 | Deer Lakes School District | Local Education Agency (LEA) | 163 E Union Rd, Russellton, PA 15076-0010 | 2006-05-04 |
| 1922160548 | Palmer Pharmacy LLC | Pharmacy | 738 Little Deer Creek Valley Road, Russellton, PA 15076-0029 | 2006-12-14 |
| 1063487205 | Richard W Disanti | Chiropractor | 715 Little Deer Creek Valley Rd, Russellton, PA 15076-0064 | 2006-02-21 |
| 1174862403 | Merakey Pennsylvania | Community/Behavioral Health | 107 Cedarwood Cir, Russellton, PA 15076-1301 | 2013-02-06 |
| 1417108937 | William A. Yanicko | Funeral Director | 23 Mckrell Rd, Russellton, PA 15076-1302 | 2008-10-02 |
| 1386079564 | Allegheny Valley Chiropractic Associates | Chiropractor | 715 Little Deer Creek Valley Rd # 64, Russellton, PA 15076-1312 | 2013-09-06 |
| 1336488519 | Merakey Pennsylvania | Community/Behavioral Health | 108 Cedarwood Cir, Russellton, PA 15076-1336 | 2013-02-07 |
| Find all providers in zip 15076 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLTON |
| Zip Code | 15076 |
Please comment or provide details below to improve the information on KAITLYN MARIE SULLIVAN.
| 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.