Jennifer J Sullivant, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-8654 Issued in MS

Practice address

440 Highway 6 E
Batesville, MS 38606-3000

Phone

(662) 855-1204

Fax

(662) 855-1218

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Panola Pharmacy, LLC

  • Long Term Care Pharmacy
  • Batesville, MS
  • NPI 1811731250
  NPD Authorized official
• Panola Pharmacy, LLC

  • Community/Retail Pharmacy
  • Batesville, MS
  • NPI 1902454523
  NPD Authorized official
• Freds Stores of Tennessee Inc

  • Community/Retail Pharmacy
  • Greenville, MS
  • NPI 1093969016
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1174646137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SULLIVANT RD",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386067239",
            "telephone_number": "662-578-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HIGHWAY 6 E",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386063000",
            "telephone_number": "662-855-1204",
            "fax_number": "662-855-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVANT",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-8654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strategic Solutions-Panola Medical Center LLC
• Shaniqua Strong, RN
• Samuel Clifton Sullivan, DMD
• Stephen E. Sullivan III, D.D.S
• Sullivan'S Drug Store,Inc
• Sunrise Medical Group PLLC
• Superior MRI Services, Inc.
• Surrender Therapy LLC
• Sweetjam Legacy LLC
• Mari Madelyn Swindoll

• Pharmacist in Batesville, MS
• Providers in Batesville, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.