Cassandra Sullivan, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP459098 Issued in PA

Practice address

4111 William PN Hwy
Monroeville, PA 15146

Phone

(412) 372-5288

Fax

(412) 374-9089

NPI assigned

Nov 11, 2021

Last updated

Jan 31, 2025By 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

Other names 1

• Cassandra Wisyanski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1336805597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 PLUM WAY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15201",
            "telephone_number": "724-289-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 WILLIAM PN HWY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-372-5288",
            "fax_number": "412-374-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CASSANDRA",
        "name_prefix": "Ms.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-01-31",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP459098",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "WISYANSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa M Styan Burkett, CRNP
• Suburban Urologic Associates P.C.
• Kirsten Sudar
• Larry Suher, DDS
• Sukhdev S. Grover, MD Associates (Lifecare Medical Associates)
• James Dennis Sullivan, PT
• Regina Helen Summerville, RPH
• Sudha Sundaram, MD
• Heather Marie Sundin, CRNP
• Nickolas D Surra

• Pharmacist in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.