Thomas Edward Sullivan, R.PH.

Pharmacist · St Augustine, FL

Individual Active NPI

NPI number 1215064050

Practice location

1010 S. Ponce Deleon Blvd
Winn-Dixie Pharmacy
St Augustine, FL 32084
Phone
(904) 825-2181
Fax
(904) 829-3643

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NPI record

NPI
1215064050
Entity type
Individual (Type 1)
Enumeration date
February 28, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS25069 FL
Pharmacist 183500000X NC 8523 NC
Pharmacist 183500000X MA 15211 MA

Mailing address

1563 Barrington Cir
St Augustine, FL 32092-3619
Phone
(904) 940-1680

About Thomas Sullivan

Thomas Edward Sullivan, R.PH. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1010 S. Ponce Deleon Blvd, Winn-Dixie Pharmacy, St Augustine, FL 32084. The NPI number 1215064050 was assigned on February 28, 2007 and the record was last updated on July 8, 2007.

Thomas Sullivan lists 3 licenses in the registry: #PS25069 (FL) for Pharmacist; #NC 8523 (NC) for Pharmacist; #MA 15211 (MA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Edward Sullivan, R.PH.?

The NPI number is 1215064050.

What is the phone number of Thomas Sullivan?

The phone number listed for the practice location is (904) 825-2181.

Where is Thomas Sullivan located?

1010 S. Ponce Deleon Blvd, Winn-Dixie Pharmacy, St Augustine, FL 32084.

What is the taxonomy code for Thomas Sullivan?

The primary taxonomy code is 183500000X – Pharmacist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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