Meghan M Sullivan, PHARM.D.

Individual provider Active NPI Pharmacist · Youngstown, OH

NPI 1174530463 · NPPES record last updated Apr 19, 2016

Key facts

NPI
1174530463
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
03-3-26616 (OH)
Practice address
1044 Belmont Ave
Second Floor Pharmacy
Youngstown, OH 44504-1006
Phone
(330) 480-2588
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-3-26616 OH Yes

Addresses

Primary practice location

1044 Belmont Ave
Second Floor Pharmacy
Youngstown, OH 44504-1006

Mailing address

1339 Meadowood Cir
Poland, OH 44514-5201
Phone (330) 318-7598

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 19, 2016.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1174530463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 MEADOWOOD CIR",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145201",
            "telephone_number": "330-318-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "address_2": "SECOND FLOOR PHARMACY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEGHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-26616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

All providers in Youngstown, OH · Pharmacist in Ohio

Sources for this page

Verify at the official NPI Registry.