Delanie Autumn Sullivan, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

36903 Issued in TN

Practice address

231 Northgate Dr Ste 100
McMinnville, TN 37110-1436

Phone

(931) 474-5050

Fax

(931) 474-5053

NPI assigned

Aug 23, 2022

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23065/brand/1/csg/1/fhir/r4

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.

• Sullivans Hometown Pharmacy LLC

  • Community/Retail Pharmacy
  • McMinnville, TN
  • NPI 1598074411
  NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1255050258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 HICKORY BLVD",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371103654",
            "telephone_number": "931-212-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NORTHGATE DR STE 100",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101436",
            "telephone_number": "931-474-5050",
            "fax_number": "931-474-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DELANIE",
        "middle_name": "AUTUMN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "36903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Stewart, FNP-BC
• Warren J. Stoffey, PA-C
• Noelle Stoner
• Heather Stovall, NP
• Jennifer Ann Strunk, LCSW
• Sullivans Hometown Pharmacy LLC
• Zachary Sutton, PT
• Laura Tabala
• Kimberly A Tabor, D.O.
• Alma Macatangay Tamula, MD

• Pharmacist in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.