Sullivan Pharmacy Services Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SULLIVAN PHARMACY SERVICES INC.

Practice address

6555 NW 9TH Ave
Ste 208
Fort Lauderdale, FL 33309-2067

Phone

(954) 771-2091

NPI assigned

Jan 6, 2017

Organization subpart

No

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

Authorized official

Name

Cynthia Wisdom

Title

Cfo

Phone

(954) 771-2091

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1043756695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 NW 9TH AVE",
            "address_2": "STE 208",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092067",
            "telephone_number": "954-771-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 NW 9TH AVE",
            "address_2": "STE 208",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092067",
            "telephone_number": "954-771-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN PHARMACY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "WISDOM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-771-2091"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathir Selvan Subramanian, MD
• Success for Kids LLC
• Laura A Sudarsky, M D
• Suddy LLC
• Sam J Sugar, MD
• Elizabeth Ann Sullivan-Jawitz, A.R.N.P.
• Francis Ryan Sullivan
• Gary S Sullivan, LCSW
• Sultan Center
• Leslie Harris Sultan, DDS

• Community/Retail Pharmacy in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.