JO ELLEN SULLIVAN (NPI# 1972682979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972682979 |
| Entity Type | Individual |
| Full Name | JO ELLEN SULLIVAN |
| Credential | R. PH. |
| Practice Address |
305 Front Street Taylorsville MS 39168 |
| Mailing Address |
Po Box 1351 Taylorsville MS 39168-1351 |
| Practice Telephone | 6017856812 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E08820 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043240328 | Jo M Sullivan | Nurse Practitioner | 3601 S. 6th Ave, Tucson, AZ 85723 | 2006-07-03 |
| Street Address |
305 FRONT STREET |
| City | TAYLORSVILLE |
| State | MS |
| Zip Code | 39168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881773877 | Diane Wyatt | Pharmacist | 305 Front Street, Taylorsville, MS 39168 | 2006-11-02 |
| 1720167729 | Jennifer Thompson | Pharmacist | 305 Front Street, Taylorsville, MS 39168 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114248010 | Family Health Care Clinic, Inc | Clinic/Center | 122 W Magnolia Ln, Taylorsville, MS 39168 | 2010-06-15 |
| 1891020509 | Vera Denise Kennedy-miller | Massage Therapist | 968 Scr 7, Taylorsville, MS 39168 | 2009-10-14 |
| 1710110374 | Family Health Care Clinic, Inc | Clinic/Center | 213 South County Road, 10 B, Taylorsville, MS 39168 | 2009-08-31 |
| 1205011608 | Dental Professionals of Mississippi, P.C. | Dentist | 411 Willis St, Taylorsville, MS 39168 | 2008-01-03 |
| 1154502979 | Family Health Center, Inc | Specialist | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2007-11-20 |
| 1689705253 | Stephen Grant Nichols | Physical Therapist | 140 Eureka Street, Taylorsville, MS 39168 | 2007-03-08 |
| 1780714386 | Randy's House of Medicine | Durable Medical Equipment & Medical Supplies | 305 Front St, Taylorsville, MS 39168 | 2007-03-06 |
| 1558458885 | John R. Harper | Family Medicine | 105 Eaton Street, Taylorsville, MS 39168 | 2006-10-06 |
| 1912015298 | Carolyn Ann Schrader | Nurse Practitioner | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2006-08-28 |
| 1871888271 | Magee Benevolent Association | Family Medicine | 105 Eaton Street, Taylorsville, MS 39168 | 2011-06-14 |
| Find all providers in zip 39168 | ||||
| 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 |
|---|---|---|---|---|
| 1386285799 | Albert Lin | Pharmacist | 3461 W Miles Dr, Taylorsville, UT 84129-2867 | 2019-10-07 |
| 1881137768 | Tuyet Le Thanh Nguyen | Pharmacist | 4128 S Carriage Sq, Taylorsville, UT 84129-5532 | 2016-11-28 |
| 1245559244 | Amber Macart | Pharmacist | 1837 W 4700 S, Taylorsville, UT 84118-1103 | 2010-05-31 |
| 1063643120 | Phung Matthews | Pharmacist | 1837 West 4700 South, Taylorsville, UT 84118 | 2009-08-06 |
| 1790923936 | Anna F Ferguson | Pharmacist | 24 Commerce Dr, Taylorsville, NC 28681-6524 | 2009-01-26 |
| 1114040094 | Gail Cook Mcomber | Pharmacist | 3835 W 5400 S, Taylorsville, UT 84118-3548 | 2007-04-07 |
| 1881773877 | Diane Wyatt | Pharmacist | 305 Front Street, Taylorsville, MS 39168 | 2006-11-02 |
| 1225638307 | Gerald Dillon | Pharmacist | 5469 S Redwood Rd, Taylorsville, UT 84123-5318 | 2020-10-28 |
| 1699380063 | Megan Gantt Nicholas | Pharmacist | 53 E Main Ave, Taylorsville, NC 28681-2540 | 2020-09-12 |
| 1386258713 | Amelia Nichols | Pharmacist | 847 Taylorsville Rd, Taylorsville, KY 40071-9771 | 2020-09-02 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 39168 |
Please comment or provide details below to improve the information on JO ELLEN 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.