Shalonie Rochelle Sullivan, PHARMD, BCACP

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

11661 Issued in SC

Practice address

41 Park Creek Dr
Gopc: Pharmacy Dept
Greenville, SC 29605-4270

Phone

(864) 299-1600

Fax

(864) 422-2614

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Dr. Shalonie Rochelle Moore 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbia Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Greenville, SC
  • NPI 1265490155
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1699967182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHATIM RIDGE CT",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293659005",
            "telephone_number": "864-517-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PARK CREEK DR",
            "address_2": "GOPC: PHARMACY DEPT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054270",
            "telephone_number": "864-299-1600",
            "fax_number": "864-422-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHALONIE",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18433",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11661",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207612",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "SC",
            "license": "11661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALONIE",
            "last_name": "MOORE",
            "middle_name": "ROCHELLE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latasha G Sullivan
• Lindsey Grace Sullivan
• Mary Allison Sullivan, L.M.S.W.
• Mary Jane Sullivan, RN
• Rosiland Sullivan
• Sonya Valjeanne Sullivan, BS
• Valerie Sullivan
• Fariha Batool Sultan, M.D.
• Anne Summer, RPH
• Rhyan L Summer, PA

• Ambulatory Care Pharmacist in Greenville, SC
• Providers in Greenville, SC by specialty
• Ambulatory Care Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.