Katherine Colleen Sullivan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

066825 Issued in NY

Practice address

935 Brighton Rd
Tonawanda, NY 14150-8113

Phone

(716) 597-7938

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Black Rock Pharmacy Inc

  dba Black Rock Pharmacy

  • Long Term Care Pharmacy
  • Buffalo, NY
  • NPI 1457917544
  NPD (past)
• Black Rock Pharmacy Inc

  dba Blackrock Pharmacy

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1568418614
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1023621422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BRIGHTON RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BRIGHTON RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508113",
            "telephone_number": "716-597-7938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 Tonawanda St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142072625",
            "country_code": "US",
            "telephone_number": "716-876-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHERINE",
        "middle_name": "COLLEEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Strom, D.C.
• Joseph Walter Strychasz, MSW
• Suburban Women's Healthcare PC
• Deness Renique Sullivan
• Jacinta Marie Sullivan, R.PH.
• Sylvia Michelle Swaggard, LPN
• Karina Swann
• Syed Eajazul Haq PC
• Kristina Sykes
• Andrew Bruce Symons, MD

• Pharmacist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.