Emily Elizabeth Sullivan, PHARMD, BCACP

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH-0017610 Issued in OR

Practice address

1111 N Roosevelt Dr
Seaside, OR 97138-4607

Phone

(503) 738-3002

Fax

(503) 738-3005

NPI assigned

Apr 30, 2013

Last updated

May 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

• Columbia Lutheran Charities

  dba Columbia Memorial Hospital

  • Critical Access Hospital
  • Astoria, OR
  • NPI 1134146939
  NPD (past)
• Columbia Lutheran Charities

  dba CMH Medical Group & Urgent Care- Seaside

  • Rural Health Clinic/Center
  • Seaside, OR
  • NPI 1225694706
  NPD (past)

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1265877518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 8TH ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971035221",
            "telephone_number": "218-205-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N ROOSEVELT DR",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971384607",
            "telephone_number": "503-738-3002",
            "fax_number": "503-738-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012756",
            "country_code": "US",
            "telephone_number": "253-874-1731",
            "fax_number": "253-874-1607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 SE Ensign Ln # B103",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "OR",
            "postal_code": "971467308",
            "country_code": "US",
            "telephone_number": "503-338-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60295014",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0017610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh C. Stelson, MD
• Katharine Stewart, L.AC.
• Jocelyn Marie Stromstad, FNP
• Kathryn K. Suarez, ARNP
• Anika D Sullivan
• Joseph Alphonse Sutton, RPH
• Kristin Tallman, PHARM.D.
• Katrina Tan
• The Lotus Center for Neurodiversity
• The Smile Store, LLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Seaside, OR
• Providers in Seaside, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.