Edward Howard Sulkosky

Primary specialty

PharmacistTaxonomy code 183500000X

License

3291 Issued in TN

Practice address

4038 Dayton Blvd
Red Bank, TN 37415-7123

Phone

(423) 877-2431

NPI assigned

Jul 14, 2010

Last updated

Jul 14, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1831402221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 LAKE MARINA DR",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434642",
            "telephone_number": "423-876-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 DAYTON BLVD",
            "city": "RED BANK",
            "state": "TN",
            "postal_code": "374157123",
            "telephone_number": "423-877-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULKOSKY",
        "first_name": "EDWARD",
        "middle_name": "HOWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "3291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Sullivan Mayfield
• Jamie Ratliff, PHARMD
• Resilience Physical Therapy LLC
• Rite Aid Pharmacy
• Jennifer Spry, JENNIFER SPRY
• Walgreen Co (Walgreens #03954)
• Walgreen Co (Rite Aid #18210)
• Roy Edward Wolf, DPH

• Pharmacist in Red Bank, TN
• Providers in Red Bank, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.