MR. TIMOTHY SULLIVAN (NPI# 1235452343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235452343 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY SULLIVAN |
| Practice Address |
336 Route 202 Somers NY 10589-3220 |
| Practice Telephone | 9142762121 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 028367-1 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024792 | Timothy Sullivan | Specialist/Technologist | 601 E Elm St Apt 1203, Troy, AL 36081-3498 | 2020-08-24 |
| 1215585112 | Timothy Sullivan II | Massage Therapist | 318 E Maiden St, Washington, PA 15301-5108 | 2019-09-04 |
| 1972954675 | Timothy Sullivan | Technician/Technologist | 38 Thatcher St, Rumford, RI 02916-2714 | 2016-06-24 |
| 1982019840 | Timothy Paul Sullivan | Chiropractor | 17000 E Us Highway 40 Ste 7, Independence, MO 64055-5394 | 2014-06-30 |
| 1306110176 | Timothy Coleman Sullivan | Behavioral Analyst | 7291 Garden Grove Blvd, Suite F, Garden Grove, CA 92841-4211 | 2012-02-26 |
| 1619152915 | Timothy Mark Sullivan | Physician Assistant | 9951 E El Moro Ave, Mesa, AZ 85208-5869 | 2008-01-04 |
| 1396819215 | Timothy P Sullivan | Dentist | 370 W Terra Cotta Ave, Crystal Lake, IL 60014-3512 | 2006-11-20 |
| 1154408011 | Timothy Patrick Sullivan | Otolaryngology | 19 N Rivers Edge Dr, Little Silver, NJ 07739-1710 | 2006-10-31 |
| 1881786226 | Timothy Joseph Sullivan | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| 1679559488 | Timothy E Sullivan | Chiropractor | 6101 Windcom Ct, Suite 300, Plano, TX 75093-7817 | 2005-12-22 |
| Street Address |
336 ROUTE 202 |
| City | SOMERS |
| State | NY |
| Zip Code | 10589-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275989766 | Elder Care Staffing Solutions LLC | Home Health | 336 Route 202, Suite #3, Somers, NY 10589-3220 | 2016-05-13 |
| 1578886784 | Matthew Golden | Pharmacist | 336 Route 202, Somers, NY 10589-3220 | 2010-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052724 | Paul A Barakat | Physical Therapist | 2811, 189 Ny-100, Somers, NY 10589 | 2020-04-24 |
| 1053825455 | Alicia Mara Morgan | Counselor | 380 Us 202, Somers, NY 10589 | 2017-11-21 |
| 1538558572 | Louis E Fierromd | General Acute Care Hospital | 287a Heritage Hills Dr., 287a Heritage Hills Dr., Somers, NY 10589 | 2015-01-14 |
| 1457548802 | Omni Vision Optometric Eye Care Pllc | Optometrist | 340 Route 202, Bailey Ct., Bldg A, 2nd Floor, Somers, NY 10589 | 2007-10-01 |
| 1992921167 | Michael M Karol | Dentist | 356 Rte 202, Somers, NY 10589 | 2007-04-17 |
| 1609092824 | Carol Theodore | Nurse Practitioner | Colonial Court, 374 Route 116, Somers, NY 10589 | 2007-04-17 |
| 1518088996 | Cvs Albany, L.L.C. | Durable Medical Equipment & Medical Supplies | 325 Routes 100, Somers, NY 10589 | 2007-04-03 |
| 1891819207 | Robert Gregg Weiner | Dentist | 338 Route 100, Bailey Court, Somers, NY 10589 | 2007-03-19 |
| 1336294867 | Somers Central School Dsitrict | Local Education Agency (LEA) | 250 Route 202, Somers, NY 10589 | 2007-01-24 |
| 1629134416 | Deanna Sandor | Internal Medicine | Route 100 Millpond Road, Suite 207a, Somers, NY 10589 | 2006-12-28 |
| Find all providers in zip 10589 | ||||
| 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 |
|---|---|---|---|---|
| 1417115874 | Mina Harirchian | Pharmacist | 325 Route 100, Somers, NY 10589-3227 | 2008-06-01 |
| 1487710604 | Justina and Jong Enterprises, Inc. | Pharmacist | 4 Heritage Hills 202 Ctr, Somers, NY 10589-1600 | 2006-12-29 |
| 1639705890 | Gabrielle Fernandes | Pharmacist | 325 Route 100, Somers, NY 10589-3227 | 2020-03-19 |
| 1063966257 | Alyssa Weers | Pharmacist | 629 Main St, Somers, CT 06071-2102 | 2016-08-05 |
| 1861841546 | Kari Ann Guerette | Pharmacist | 629 Main St, Somers, CT 06071-2102 | 2016-06-03 |
| 1699098269 | Justina Lee | Pharmacist | 325 Route 100, Somers, NY 10589-3227 | 2010-03-10 |
| 1578886784 | Matthew Golden | Pharmacist | 336 Route 202, Somers, NY 10589-3220 | 2010-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619186 | Seta Crilley | Pharmacist | 17 Fishermans Dr, Port Washington, NY 11050-1733 | 2020-11-05 |
| 1528669603 | Caroline Preval | Pharmacist | 3333 New Hyde Park Rd, New Hyde Park, NY 11042-1204 | 2020-11-04 |
| 1275134686 | Chiranjit Kumar Saha | Pharmacist | 6128 Broadway, Woodside, NY 11377-2152 | 2020-11-03 |
| 1437759693 | Anthony So | Pharmacist | 8765 94th St, Woodhaven, NY 11421-2236 | 2020-10-27 |
| 1942809785 | Obaid Zia | Pharmacist | 106 Elm Ln, New Hyde Park, NY 11040-2406 | 2020-10-22 |
| 1235738915 | Vishal Pravinkumar Patel | Pharmacist | 3930 59th St Apt A6, Woodside, NY 11377-3401 | 2020-10-22 |
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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| 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.