Active NPI
Timothy Sullivan, RPH
- Pharmacist
- Toms River, NJ
National Provider Identifier
1124337068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI02712600
- Practice address
- 811 Fischer Blvd
Toms River, NJ 08753-4605 - Phone
- (732) 929-3440
- NPI assigned
- Sep 27, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RI02712600 | NJ | Primary |
Addresses
Primary practice location
811 Fischer Blvd
Toms River, NJ 08753-4605
Mailing address
811 Fischer Blvd
Toms River, NJ 08753-4605
Phone (732) 929-3440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI02712600 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1124337068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 FISCHER BLVD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087534605",
"telephone_number": "732-929-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 FISCHER BLVD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087534605",
"telephone_number": "732-929-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "TIMOTHY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-27",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI02712600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.