MRS. JILL R SULLIVAN (NPI# 1376062893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376062893 |
| Entity Type | Individual |
| Full Name | MRS. JILL R SULLIVAN |
| Credential | DPH |
| Practice Address |
6985 Rhea County Hwy Dayton TN 37321-6208 |
| Mailing Address |
Po Box 1045 Dayton TN 37321-1003 |
| Practice Telephone | 4237755511 |
| Practice Fax Number | 4237755204 |
| Mailing Telephone | 4237755511 |
| Mailing Fax Number | 4237755204 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 24210 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NABP | 244869 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174724272 | Jill Ruckman Sullivan | Speech-Language Pathologist | 3411 Edmonson Ct, Missouri City, TX 77459-6367 | 2007-05-29 |
| 1417179409 | Jill Elizabeth Sullivan | Psychologist | 1 East Erie, Suite 355, Chicago, IL 60611 | 2007-05-02 |
| 1750330114 | Jill Marie Sullivan | Speech-Language Pathologist | 307 Canon Lane, Malvern, AR 72104 | 2006-05-10 |
| 1407360464 | Jill M Sullivan | Marriage & Family Therapist | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2017-11-28 |
| 1457711608 | Jill Sullivan | Social Worker | 30 Eastbrook Rd, Dedham, MA 02026-2048 | 2016-03-01 |
| 1174818355 | Jill Maxwell Sullivan | Internal Medicine | 701 Grove Rd, Ghs Med-peds Residency, Greenville, SC 29605-5611 | 2011-06-15 |
| 1588977425 | Jill Sullivan | Counselor | 1019 Iyannough Rd, Hyannis, MA 02601-1839 | 2010-07-21 |
| 1356528228 | Jill Marie Sullivan | Physician Assistant | 282 Washington St, Cardiology - 2b, Hartford, CT 06106-3322 | 2008-01-23 |
| 1780755405 | Jill Marie Sullivan | Physical Therapist | 301 S Lafayette St, South Lyon, MI 48178-1407 | 2006-11-13 |
| 1104934322 | Jill Ann Sullivan | Dietitian, Registered | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-08-28 |
| Street Address |
6985 RHEA COUNTY HWY |
| City | DAYTON |
| State | TN |
| Zip Code | 37321-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477856656 | Dayton Drug and Wellness LLC | Durable Medical Equipment & Medical Supplies | 6985 Rhea County Hwy, Dayton, TN 37321-6208 | 2010-12-10 |
| 1700310133 | Ashley Adler | Pharmacist | 6985 Rhea County Hwy, Dayton, TN 37321-6208 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730745019 | Nicole J. Kammeyer, O.d. | Optometrist | 1286 Market Street, Dayton, TN 37321 | 2019-05-13 |
| 1124508429 | L M Smith Center for Dental Health | Dentist | 180 Walnut Grove Road, Dayton, TN 37321 | 2018-08-16 |
| 1750813986 | Jared Arthur | Counselor | 1365b Maley Hollow Rd, Dayton, TN 37321 | 2017-03-28 |
| 1386193068 | Richland Creek Dental LLC | Dentist | 1272 Market St, Dayton, TN 37321 | 2016-09-23 |
| 1427505999 | Sport & Spine | Physical Therapist | 445 Chicamagua Drive, Suite 101, Dayton, TN 37321 | 2016-09-01 |
| 1104175025 | Stephanie Ann Sharp | Chore Provider | 701 Belmont Farms Road, Dayton, TN 37321 | 2012-09-06 |
| 1841438579 | Voytik Center for Orthopedic Care, PC | Physician Assistant | 164 Walnut Grove Church Rd, Dayton, TN 37321 | 2009-02-03 |
| 1558581140 | James Morgan Freuler | Physician Assistant | 149 Walnut Grove Church Road, Dayton, TN 37321 | 2007-04-26 |
| 1215004908 | Margaret Ruth Ulrich | Audiologist-Hearing Aid Fitter | 211 Dayton Mtn Hwy, Dayton, TN 37321 | 2006-11-29 |
| 1053490417 | Craig Steven Swafford | Surgery | 9390 Rhea County Highway, Dayton, TN 37321 | 2006-11-04 |
| Find all providers in zip 37321 | ||||
| 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 |
|---|---|---|---|---|
| 1811506116 | Julie Ann Moster | Pharmacist | 1989 Miamisburg Centerville Rd Ste 101, Dayton, OH 45459-3858 | 2020-07-23 |
| 1063037182 | Sydney Schultz | Pharmacist | 1375 Soaring Heights Dr, Dayton, OH 45440-4313 | 2020-06-15 |
| 1942820048 | Alan Lee Adams | Pharmacist | 2916 Linden Ave # 3246, Dayton, OH 45410-3027 | 2020-04-20 |
| 1922637305 | Carrie Anne Snelling | Pharmacist | 1608 Sunnington Grove Dr, Dayton, OH 45458-6001 | 2020-04-07 |
| 1477181444 | Nathaniel Luce | Pharmacist | 1222 S Patterson Blvd Ste 110, Dayton, OH 45402-2643 | 2020-03-27 |
| 1851949002 | Michele Lee Northrup | Pharmacist | 108 N Main, Ste B, Dayton, TX 77535 | 2019-08-30 |
| 1578110003 | Kimberly Asson | Pharmacist | 108b N Main St, Dayton, TX 77535-2642 | 2019-08-20 |
| 1861045403 | Danielle L Polley | Pharmacist | 140 North Jefferson Street, Dayton, OH 45402-1555 | 2019-07-23 |
| 1720563398 | Rosemary Haubert | Pharmacist | 7619 Painted Turtle Dr, Dayton, OH 45414-1727 | 2018-09-30 |
| 1417447046 | Cynthia Sheppard Solomon | Pharmacist | 1075 W Rahn Rd, Dayton, OH 45429-2048 | 2018-05-18 |
| Find all providers in DAYTON | ||||
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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.