DR. BEVERLY A SULLIVAN (NPI# 1225030323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225030323 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY A SULLIVAN |
| Credential | PHARM.D. |
| Practice Address |
1000 E. University Ave Dept. 3375 Laramie WY 82071-3375 |
| Mailing Address |
2326 Mountain Shadow Ln Laramie WY 82070-5387 |
| Practice Telephone | 3077662550 |
| Practice Fax Number | 3077662953 |
| Mailing Telephone | 3077662550 |
| Mailing Fax Number | 3077662953 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2842 | WY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871604884 | Beverly K Sullivan | Social Worker | 337 3rd St, Beaver, PA 15009-2302 | 2006-08-31 |
| Street Address |
1000 E. UNIVERSITY AVE DEPT. 3375 |
| City | LARAMIE |
| State | WY |
| Zip Code | 82071-3375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922112374 | University of Wyoming Student Health Service | Clinic/Center | 1000 E. University Ave, Dept. 3068, Laramie, WY 82071 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932419207 | Marguerite E. Routson | Speech-Language Pathologist | Dept. 3311 - 1000 E. University Ave., Laramie, WY 82071 | 2010-10-20 |
| 1811033442 | Amy Margaret Robohm | Nurse Practitioner | 1000 E. University Avenue, Laramie, WY 82071 | 2007-01-30 |
| 1326135005 | Carl Barnett | Specialist/Technologist | Dept 3414 1000 E. University Ave, Department of Intercol, Laramie, WY 82071 | 2006-10-06 |
| 1437261120 | Daniel George Radosevich | Family Medicine | 1000 E University Ave, Department 3068, Laramie, WY 82071 | 2006-08-31 |
| 1396350096 | Lihan Deng | Pharmacist | 1000 E University Ave Dept 3068, Laramie, WY 82071-2000 | 2020-09-10 |
| 1033674056 | Shelley Elaine Barton | Speech-Language Pathologist | University of Wyoming Speech & Hearing Clinic, Dept. 3311, 1000 E. University Avenue, Laramie, WY 82071-2000 | 2019-02-04 |
| 1386816981 | Walter Gerald Saunders | Obstetrics & Gynecology | 1000 E University Ave Dept 3432, Laramie, WY 82071-2000 | 2008-03-24 |
| 1134266356 | Teresa Jean Garcia | Audiologist | 1000 E University Ave Dept 3311, Laramie, WY 82071-2000 | 2007-01-30 |
| 1801842703 | Matthew Eric Boyer | Emergency Medicine | 1000 E University Ave Dept 3414, Laramie, WY 82071-2000 | 2006-05-25 |
| 1740266741 | Kristen K Rigoni | Social Worker | 1000 E University Ave Dept 3195, Knight Hall 222, Laramie, WY 82071-2000 | 2005-12-21 |
| Find all providers in zip 82071 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350096 | Lihan Deng | Pharmacist | 1000 E University Ave Dept 3068, Laramie, WY 82071-2000 | 2020-09-10 |
| 1548768237 | Rebecca A Darling | Pharmacist | 1514 Arnold St, Laramie, WY 82070-5419 | 2018-01-27 |
| 1730565433 | Ryan Leigh Randall-brost | Pharmacist | 1416 Fetterman Dr, Laramie, WY 82070-8201 | 2015-08-04 |
| 1831504935 | Kathleen Ragan | Pharmacist | 750 N 3rd St, Laramie, WY 82072-2506 | 2014-06-26 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1518245943 | Yuan Hua Mcdermott | Pharmacist | 1420 Shield St, Laramie, WY 82072-2246 | 2011-08-02 |
| 1699075176 | Erambo Ayokosok | Pharmacist | 1718 Walsh Ct, Laramie, WY 82070-5524 | 2010-10-29 |
| 1669780045 | Michelle Elaine Albee | Pharmacist | 4005 E Grand, Laramie, WY 82070-5416 | 2010-09-19 |
| Find all providers in LARAMIE | ||||
Please comment or provide details below to improve the information on DR. BEVERLY A SULLIVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.