Eric Sullivan, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHA.0020928 Issued in CO

Practice address

4425 Venetucci Blvd
Colorado Springs, CO 80906-4013

Phone

(719) 313-4385

Fax

(719) 313-4379

NPI assigned

Apr 15, 2019

Last updated

Apr 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1811550098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 VENETUCCI BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064013",
            "telephone_number": "719-313-4385",
            "fax_number": "719-313-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 VENETUCCI BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064013",
            "telephone_number": "719-313-4385",
            "fax_number": "719-313-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03237022",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0020928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Sullins
• Katelyn Jean Sullivan-Vankeuren, M.S.
• Aleigh Joe Sullivan
• Connor Philip Sullivan
• Deborah A Sullivan, NP
• Jessica Sullivan, CCC-SLP
• Jessie Mae Sullivan, RD
• Kathryn Harriet Sullivan, RPH
• Katie E. Sullivan, PT, DPT, NCS
• Kelly Colleen Sullivan, MA, PLMHP

• Pharmacist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.