Jeremy Allan Sullens

Primary specialty

PharmacistTaxonomy code 183500000X

License

S023256 Issued in AZ

Practice address

3180 N Campbell Ave
Tucson, AZ 85719-2302

Phone

(520) 326-4509

NPI assigned

Aug 29, 2018

Sex

Male

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

State licenses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1578045209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 E SNYDER RD APT 22101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857509047",
            "telephone_number": "618-339-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192302",
            "telephone_number": "520-326-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLENS",
        "first_name": "JEREMY",
        "middle_name": "ALLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S023256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Nace Suitt, LPC
• Alona Sukhina, MD
• Rami Hamed Sulaiman, M.D
• Jill Ann Sulak, CRNA
• Michael Lee Sulkowski, PH.D.
• Adelina Isabella Lilani Sullivan, MD
• Anna Marie Sullivan, RN
• Anne Marie Sullivan
• Barry Sullivan, DDS
• Bethany Esther Sullivan, RBT

• Pharmacist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.