Active NPI
Caroline Friend Sullivan, RPH
- Pharmacist
- Mount Pleasant, SC
National Provider Identifier
1972702439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8515
- Practice address
- 1799 N Highway 17
Mount Pleasant, SC 29464-3334 - Phone
- (843) 856-8669
- Fax
- (843) 856-1726
- NPI assigned
- Jul 15, 2007
- Last updated
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8515 | SC | Primary |
Addresses
Primary practice location
1799 N Highway 17
Mount Pleasant, SC 29464-3334
Mailing address
7016 Schooner St
Daniel Island, SC 29492-7944
Phone (843) 216-5696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8515 | Other | SC | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8515 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1972702439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7016 SCHOONER ST",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294927944",
"telephone_number": "843-216-5696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1799 N HIGHWAY 17",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643334",
"telephone_number": "843-856-8669",
"fax_number": "843-856-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "CAROLINE",
"middle_name": "FRIEND",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-15",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "8515",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.