Sullivan Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE000118 Issued in GA

Legal business name

SULLIVAN DRUGS INC

Doing business as

Sullivan Drugs Inc

Practice address

9613 Lavonia Rd
Carnesville, GA 30521-3254

Phone

(706) 384-2022

Fax

(706) 384-2118

NPI assigned

Nov 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Clifton, PHARMD

Title

Owner/Pharmacist

Phone

(706) 384-2022

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SULLIVAN DRUGS INC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lamar Leonard London

  • Pharmacist
  • Carnesville, GA
  • NPI 1194137216
  NPD (past)
• Suzanne Sullivan

  • Pharmacist
  • Carnesville, GA
  • NPI 1760527865
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1205900677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "CARNESVILLE",
            "state": "GA",
            "postal_code": "305210069",
            "telephone_number": "706-384-2022",
            "fax_number": "706-384-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 LAVONIA RD",
            "city": "CARNESVILLE",
            "state": "GA",
            "postal_code": "305213254",
            "telephone_number": "706-384-2022",
            "fax_number": "706-384-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "706-384-2022",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE000118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015975",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00036484A4",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SULLIVAN DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Dawn Moore
• North Star Medical Transport Inc
• Dharmesh Patel, RPH
• Elizabeth Rickman
• Laura C Starrett, LNP
• Suzanne Sullivan
• Ty Cobb Healthcare System, Inc (Carnesville Family Practice)
• Lee Walker
• Eleanor Leigh Whitlock, MED

• Community/Retail Pharmacy in Carnesville, GA
• Providers in Carnesville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.