COLLEEN MARIE SULLIVAN (NPI# 1396111423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396111423 |
| Entity Type | Individual |
| Full Name | COLLEEN MARIE SULLIVAN |
| Credential | PHARMD |
| Practice Address |
11449 W Palmetto Park Rd Boca Raton FL 33428-2659 |
| Practice Telephone | 5619624006 |
| Mailing Telephone | 5619624006 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS53570 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348119 | Colleen Marie Sullivan | Student in an Organized Health Care Education/Training Program | 42 Mill St, Apartment 2, Dudley, MA 01571-3373 | 2013-11-29 |
| 1770916959 | Colleen Marie Sullivan | Nurse Practitioner | 12 Biltmore Ave, Chelmsford, MA 01824-3202 | 2013-08-12 |
| 1366715559 | Colleen Jean Sullivan | Licensed Practical Nurse | 173 Mutton Ln, Apt 2, East Weymouth, MA 02189-2434 | 2012-02-17 |
| 1891013785 | Colleen Sullivan | Pharmacist | 31 Garden Rd, Plaistow, NH 03865-2933 | 2010-05-17 |
| 1891764486 | Colleen J Sullivan | Registered Nurse | 142 E Van Buren St, Port Washington, WI 53074-1613 | 2006-03-16 |
| 1487298865 | Colleen Marie Sullivan | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-10-29 |
| 1437702594 | Colleen Elizabeth Sullivan | Social Worker | 1011 Bingham St, Pittsburgh, PA 15203-1101 | 2019-07-18 |
| 1962947721 | Colleen Sullivan | Behavior Technician | 53869 Connor Dr, Chesterfield, MI 48051-3930 | 2017-01-03 |
| 1508300732 | Colleen Marie Sullivan | Occupational Therapist | 101 W 116th St, New York, NY 10026-2521 | 2016-12-07 |
| 1003241613 | Colleen Blair Sullivan | Student in an Organized Health Care Education/Training Program | 9706 4th Ave Ne Ste 303, Northgate, Seattle, WA 98115-2199 | 2013-09-13 |
| Street Address |
11449 W PALMETTO PARK RD |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699901132 | Walgreen Co. | Pharmacy | 11449 W Palmetto Park Rd, Boca Raton, FL 33428-2659 | 2009-06-10 |
| 1851744031 | Devon Roland Ghee | Pharmacist | 11449 W Palmetto Park Rd, Boca Raton, FL 33428-2659 | 2016-07-22 |
| 1952735250 | Judelyne Desir | Pharmacist | 11449 W Palmetto Park Rd, Boca Raton, FL 33428-2659 | 2013-08-23 |
| 1578905980 | Bibin Varughese | Pharmacist | 11449 W Palmetto Park Rd, Boca Raton, FL 33428-2659 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| 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 |
|---|---|---|---|---|
| 1407322142 | Ellesse Marie Maestre | Pharmacist | 6800 Broken Sound Pkwy Nw Ste 100, Boca Raton, FL 33487-5708 | 2018-10-21 |
| 1396223616 | Gary David Einhorn | Pharmacist | 5790 Nw 22nd Ave, Boca Raton, FL 33496-3417 | 2018-07-30 |
| 1447786686 | Kenneth Cohen | Pharmacist | 11171 Sea Grass Cir, Boca Raton, FL 33498-4916 | 2017-05-09 |
| 1225583503 | Sabina Gamez | Pharmacist | 9975 Boca Gardens Trl Apt C, Boca Raton, FL 33496-3730 | 2016-08-17 |
| 1114303666 | Douglas Joffe | Pharmacist | 101 Sw 11th Ave, Boca Raton, FL 33486-4565 | 2015-08-07 |
| 1174909535 | Medicationadvisingnetwork | Pharmacist | 11522 Country Sound Ct, Boca Raton, FL 33428-2411 | 2015-08-07 |
| 1609295252 | Kristen Kohl Verderber | Pharmacist | 660 Ne Lakeview Ter, Boca Raton, FL 33431-6914 | 2014-04-10 |
| 1902229800 | Sulbha Pai | Pharmacist | 19585 State Road 7, Boca Raton, FL 33498-4744 | 2014-01-28 |
| 1619307394 | Scott Stanislaw | Pharmacist | 4802 Nw 2nd Ave, Boca Raton, FL 33431-4173 | 2013-11-18 |
| 1669813069 | Lea Barbieri Zinner | Pharmacist | 19745 Black Olive Ln, Boca Raton, FL 33498-4855 | 2013-07-13 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
Please comment or provide details below to improve the information on COLLEEN MARIE 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.