Doctors Park Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DOCTORS PARK PHARMACY INC

Practice address

403 Western Blvd
Jacksonville, NC 28546-6399

Phone

(910) 353-5733

Fax

(800) 776-2220

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Jarman Sullivan, BSNPI 1336626159

Title

Pharmacist Manager/Owner

Phone

(910) 353-5733

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Jarman Sullivan, R.PH.

  • Pharmacist
  • Jacksonville, NC
  • NPI 1336626159
  NPD Authorized official

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1336029180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466399",
            "telephone_number": "910-353-5733",
            "fax_number": "800-776-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466399",
            "telephone_number": "910-353-5733",
            "fax_number": "800-776-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JARMAN",
        "authorized_official_title_or_position": "PHARMACIST MANAGER/OWNER",
        "authorized_official_telephone_number": "910-353-5733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Murvin Divelbliss
• Divine Support Services, LLC.
• Shieka Dixon
• Warnell Angelo Dixon, RBT
• Doctors Park Pharmacy Inc (Doctors Park Pharmacy)
• Alyssa Jane Dodge, MS/CCC-SLP
• Jordan Doetsch, N.P.
• Eline Dolce
• Alyssa Donahue, OTR/L
• Maria Luz Donaty-Gurba, L.C.S.W

• Long Term Care Pharmacy in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.