Patrick Joseph Sullivan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH027139 Issued in GA

Practice address

2705 E Pinetree Blvd Ste F
Thomasville, GA 31792-4875

Phone

(229) 551-2377

Fax

(229) 551-8610

NPI assigned

Feb 13, 2024

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1932963592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 HOLLY TERRACE LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323091488",
            "telephone_number": "229-551-2377",
            "fax_number": "229-551-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E PINETREE BLVD STE F",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924875",
            "telephone_number": "229-551-2377",
            "fax_number": "229-551-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Ramsey Stowers, LCSW
• Marisa Renee Stringer, LPC
• Robinson H Stubley, MD
• Caitlin Jenkins Suddarth, NP-C
• Julie A Suite
• Eugene Yo-Jen Sun, MD
• Henal Nitin Sutaria, DO
• Deborah Sutton, FNP-C
• Emma Grace Swallow
• Brian J Szwarc, M.D.

• Pharmacist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.