Abigail Nicole Sullins

Primary specialty

PharmacistTaxonomy code 183500000X

License

18894 Issued in OK

Practice address

2005 N 14TH St Ste 110
Ponca City, OK 74601-1919

Phone

(580) 762-7444

NPI assigned

Dec 13, 2020

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

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1558957779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 KAW ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730773048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N 14TH ST STE 110",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011919",
            "telephone_number": "580-762-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLINS",
        "first_name": "ABIGAIL",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "18894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Nicole Stookey
• John Albert Streight, DDS
• Michael Thomas Stroud
• William A Stuever, O.D.
• Sandra Joanne Suggs, RN
• Nora A Summitt, LPN
• Surrender to Growth LLC
• Jade Marie Suter
• Suzan B. Simmons, PH.D,,PLLC
• Morgan Swain, LCSW

• Pharmacist in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.