Susan B Sullivan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

14382 Issued in AZ

Practice address

9501 E Shea Blvd # Mc139
Scottsdale, AZ 85260-6719

Phone

(602) 431-4023

Fax

(480) 314-6036

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Registered Pharmacist

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1144359746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 E SHEA BLVD # MC139",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606719",
            "telephone_number": "602-431-4023",
            "fax_number": "480-314-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 E SHEA BLVD # MC139",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606719",
            "telephone_number": "602-431-4023",
            "fax_number": "480-314-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "14382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Jon Sullivan, PT
• Megan M Sullivan, M.D.
• Shane Sullivan
• Shawn Michael Sullivan, D.O.
• Stacey J Sullivan, M.D.
• Kayla Dawn Sumberg, N.M.D.
• Sumer Statler Aeed, LLC
• Shayne Sumida, MD
• Joseph D Summers, M.D.
• Savanna D Summerville, RBT

• Pharmacist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.