Kimberly Jarman Sullivan, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

12609 Issued in NC

Practice address

403 Western Blvd
Jacksonville, NC 28546-6399

Phone

(910) 353-5733

Fax

(910) 577-1705

NPI assigned

Jul 24, 2018

Last updated

Jul 24, 2018By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doctors Park Pharmacy Inc

  dba Doctors Park Pharmacy

  • Community/Retail Pharmacy
  • Jacksonville, NC
  • NPI 1205901881
  NPD Authorized official
• Doctors Park Pharmacy Inc

  • Long Term Care Pharmacy
  • Jacksonville, NC
  • NPI 1336029180
  NPD Authorized official

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1336626159",
    "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": "910-577-1705"
        },
        {
            "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": "910-577-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KIMBERLY",
        "middle_name": "JARMAN",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sucoree Enterprise, PLLC (Sucoree)
• Sarah Joy Brewington Sudekum
• Tracey Suggs, LCAS, LPCA
• Ericka Lee Sullivan-Gamble, LCSW-A
• Brianna Hohman Sullivan, DPT
• Bridget Sultzer
• Mary Ann Summerlin, LPCA
• Nicole Summerlin, PTA
• Suncoast Medical, PC
• Tyra Sundquist, RN

• Pharmacist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.