Sullivan Wholesale Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.013604 Issued in IL

Legal business name

SULLIVAN WHOLESALE DRUG CO INC

Practice address

325 S Main St
Hillsboro, IL 62049-1460

Phone

(217) 532-2377

Fax

(217) 532-3037

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Brian M Sullivan, RPH

Title

President

Phone

(217) 532-2377

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Sullivan Drugs Doing business as

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1053396028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S MAIN ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491460",
            "telephone_number": "217-532-2377",
            "fax_number": "217-532-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S MAIN ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491460",
            "telephone_number": "217-532-2377",
            "fax_number": "217-532-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN WHOLESALE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-532-2377",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.013604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2023150",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371005938001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Randy Thompson, B.A.
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• Melissa Annette Trader, B.S.
• Megan Lynne Tuetken
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• Community/Retail Pharmacy in Hillsboro, IL
• Providers in Hillsboro, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.