Active NPI
Sullivan'S Pharmacy, LTD.
- Durable Medical Equipment & Medical Supplies
- Zachary, LA
National Provider Identifier
1104873637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- LA1911-IR
- Legal business name
- SULLIVAN'S PHARMACY, LTD.
- Practice address
- 4651 Highway 19
Zachary, LA 70791-3525 - Phone
- (225) 654-3901
- Fax
- (225) 654-3685
- NPI assigned
- May 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Morrison, CPT
- Title
- Certified Pharmacy Tech/Manager
- Phone
- (225) 654-3901
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | LA1911-IR | LA | Primary |
| Pharmacy | 333600000X | LA1911-IR | LA |
Addresses
Primary practice location
4651 Highway 19
Zachary, LA 70791-3525
Mailing address
4651 Highway 19
Zachary, LA 70791-3525
Phone (225) 654-3901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255572 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104873637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 HIGHWAY 19",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707913525",
"telephone_number": "225-654-3901",
"fax_number": "225-654-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 HIGHWAY 19",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707913525",
"telephone_number": "225-654-3901",
"fax_number": "225-654-3685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SULLIVAN'S PHARMACY, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "CERTIFIED PHARMACY TECH/MANAGER",
"authorized_official_telephone_number": "225-654-3901",
"authorized_official_credential": "CPT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "LA",
"license": "LA1911-IR",
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "LA",
"license": "LA1911-IR",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255572",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.