Active NPI
Barbara Nicole Sullivan, PHARMD
- Pharmacist
- Sumter, SC
National Provider Identifier
1629597612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37245
- Practice address
- 1080 Alice Dr
Sumter, SC 29150-2463 - Phone
- (803) 778-0460
- NPI assigned
- Sep 12, 2017
- Last updated
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37245 | SC | Primary |
Addresses
Primary practice location
1080 Alice Dr
Sumter, SC 29150-2463
Mailing address
807 Woodstone Dr Apt E
Florence, SC 29501-5572
Phone (864) 360-2811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1629597612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 WOODSTONE DR APT E",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015572",
"telephone_number": "864-360-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 ALICE DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291502463",
"telephone_number": "803-778-0460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "BARBARA",
"middle_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
- Brandee Cupp Stukes, PHARMD
- Mary Jean Sturgis, CNP
- Nelson H Sturgis III, MD
- Richard Anthony Suarez-Murias, D.D.S.
- Pusadee Suchinda, MD
- Patrick Ryan Sullivan
- Summit Speech Therapy, LLC
- Sumter Al Holdings LLC (Gardens at Sumter)
- Sumter Behavioral Health LLC (Midlands Behavioral Health Hospital)
- Sumter Behavioral Health LLC (Midlands Behavioral Health Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.