MICHAEL JOHN SULLIVAN (NPI# 1366717167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366717167 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN SULLIVAN |
| Credential | RPH |
| Practice Address |
73-5600 Maiau St Kailua Kona HI 96740-2630 |
| Practice Telephone | 8083314808 |
| Practice Fax Number | 8083314861 |
| Mailing Telephone | 8083314808 |
| Mailing Fax Number | 8083314861 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 05637 | NV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 5929 | MT | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 27185 | CA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH1786 | HI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918617 | Michael David Sullivan | Social Worker | 403 1/2 Hector St, Ithaca, NY 14850-2025 | 2018-10-15 |
| 1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
| 1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
| 1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
| 1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
| 1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
| 1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
| 1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
| 1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
| 1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
| Street Address |
73-5600 MAIAU ST |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245336445 | Wallace M Kojima | Optometrist | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2006-09-15 |
| 1952948879 | Katrina Elise Downey | Pharmacist | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2019-12-10 |
| 1043719487 | Katrina Spinola | Pharmacist | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2018-02-12 |
| 1679941710 | Cedric Nakamoto | Pharmacist | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2015-09-07 |
| 1457741662 | Costco Wholesale Corporation | Hearing Aid Equipment | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2015-01-26 |
| 1326437542 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2015-01-12 |
| 1972933109 | Ryan Gaspar | Pharmacist | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2013-11-25 |
| 1316371784 | James S Takakuwa | Pharmacist | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2013-08-21 |
| 1548512874 | Valerie Sachiko Kitamori | Optometrist | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2012-10-10 |
| 1154610822 | David Moore | Pharmacist | 73-5600 Maiau St, Kailua Kona, HI 96740-2630 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| 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 |
|---|---|---|---|---|
| 1164063079 | Kimberly Anne Sprenkel | Pharmacist | 75-5995 Kuakini Hwy Ste 513b, Kailua Kona, HI 96740-2124 | 2019-10-02 |
| 1528546413 | Necole Miyazaki | Pharmacist | 78-6831 Alii Dr Ste 101, Kailua Kona, HI 96740-2440 | 2018-08-01 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1588018493 | Craig Pivo | Pharmacist | 75-6226 Piena Pl, Kailua Kona, HI 96740-7948 | 2016-04-17 |
| 1528464971 | Micheal Hamilton | Pharmacist | 76-6172 Kumu Pl, Kailua Kona, HI 96740-4330 | 2014-11-12 |
| 1972924827 | Timothy C Bedrosian | Pharmacist | 73-4400 Paiaha St, Kailua Kona, HI 96740-9313 | 2013-12-19 |
| 1669809687 | Megan Cho Venegas | Pharmacist | 74-5465 Kamakaeha Ave, Kailua Kona, HI 96740-1648 | 2013-10-04 |
| 1730454380 | Peter J Morrow | Pharmacist | 75-6040 Alii Dr # 707, Kailua Kona, HI 96740-2310 | 2012-03-15 |
| 1134420458 | Michael Sylva | Pharmacist | 75-5751 Kuakini Hwy Ste 104, Kailua Kona, HI 96740-1705 | 2010-11-03 |
| 1851582118 | Kathleen Amazona-schmidt | Pharmacist | 74-802 Uluaoa St, Kailua Kona, HI 96740-1502 | 2007-08-01 |
| Find all providers in KAILUA KONA | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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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.