Sullivan University System Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07371 Issued in KY

Legal business name

SULLIVAN UNIVERSITY SYSTEM INC

Practice address

Sullivan University West Campus
2100 Gardiner LN
Louisville, KY 40205-2962

Phone

(502) 413-8991

Fax

(502) 413-8990

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Julie Burris

Title

Pic

Phone

(502) 413-8979

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sullivan University College of Pharmacy -The Center for Heal Doing business as

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1740418052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SULLIVAN UNIVERSITY WEST CAMPUS",
            "address_2": "2100 GARDINER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052962",
            "telephone_number": "502-413-8991",
            "fax_number": "502-413-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SULLIVAN UNIVERSITY WEST CAMPUS",
            "address_2": "2100 GARDINER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052962",
            "telephone_number": "502-413-8991",
            "fax_number": "502-413-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN UNIVERSITY SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "502-413-8979"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan University College of Pharmacy -The Center for Heal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sally A Suliman, M.D
• Gregory Michael Sulkowski, M.D.
• Sullivan Pediatric Therapy LLC
• Sullivan Psychiatric Group, PLLC
• Sullivan University System
• Amanda Michelle Sullivan, ARNP
• Aubrey Ross Obradovich Sullivan, M. ED
• David Lee Sullivan Jr.
• Elizabeth Sullivan, MA
• Izabella Sullivan, APRN

• Community/Retail Pharmacy in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.