MAURICE E SULLIVAN (NPI# 1477539732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477539732 |
| Entity Type | Organization |
| Organization Name | MAURICE E SULLIVAN |
| Other Organization Name | SULLIVAN DRUG OF RAYMOND |
| Practice Address |
801 N Obannon St Raymond IL 62560-5283 |
| Mailing Address |
Po Box 588 Raymond IL 62560-0588 |
| Practice Telephone | 2172293022 |
| Practice Fax Number | 2172293065 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MAURICE SULLIVAN (OWNER) |
| Authorized Official Telephone | 2178392909 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054007502 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 323389477001 | 05 | |
| PK | 2018616 | 01 |
| Other Name | Type Code |
|---|---|
| SULLIVAN DRUG OF RAYMOND | Doing Business As Name - Organization |
| Street Address |
801 N OBANNON ST |
| City | RAYMOND |
| State | IL |
| Zip Code | 62560-5283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013255942 | Springfield Clinic LLP | Clinic/Center | 801 N Obannon St, Raymond, IL 62560-5283 | 2013-01-28 |
| 1770508749 | Maurice E Sullivan | Pharmacist | 801 N Obannon St, Raymond, IL 62560-5283 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972761831 | Hillsboro Medical Center Raymond Lab | Clinical Medical Laboratory | 801 N Obannon, Pentagon Plaza, Raymond, IL 62560 | 2008-05-28 |
| 1528157203 | Raymond Harvel Area Ambulance Service | Ambulance | 125 East Broad Street, Raymond, IL 62560 | 2006-10-12 |
| 1427193002 | Panhandle Cusd 2 | Local Education Agency (LEA) | 317 East Broad, Raymond, IL 62560-0049 | 2007-02-21 |
| 1689724429 | Velvet Christine Balmer | Speech-Language Pathologist | 207 S. Mcelroy St., Raymond, IL 62560-0094 | 2007-01-12 |
| 1174177562 | Kristopher Rhodes | Nurse Practitioner | 20037 North Rd, Raymond, IL 62560-5146 | 2019-07-24 |
| 1639260953 | Mark A Wood | Chiropractor | 506 E Broad St, Raymond, IL 62560-5202 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517053 | Meagan Thelma Dearborn | Home Health Aide | 11 Gould St, Raymond, NH 03077-2517 | 2020-08-04 |
| 1124636659 | Graceful Serenity LLC | Respite Care | 1440 Dunn Pease Rd, Raymond, MS 39154-8252 | 2020-07-21 |
| 1538795364 | Faithful Limbs Prosthetics | Prosthetist | 114 Herring Dr, Raymond, MS 39154-9646 | 2020-03-12 |
| 1275181232 | Bonnie Lynn Quinlan | Occupational Therapy Assistant | 6 Enterprise Way, Raymond, NH 03077-2454 | 2019-09-03 |
| 1487209862 | Amanda Hathaway | Nurse's Aide | 14 Raiders Ln, Raymond, NH 03077-1568 | 2019-08-02 |
| 1174177562 | Kristopher Rhodes | Nurse Practitioner | 20037 North Rd, Raymond, IL 62560-5146 | 2019-07-24 |
| 1982264131 | Florence Marie Emerson | Behavioral Analyst | 170 Route 27 Apt 7b, Raymond, NH 03077-1270 | 2019-06-19 |
| 1356904189 | Hannah Mcnicholas | Specialist/Technologist | 29 Watson Hill Rd, Raymond, NH 03077-1864 | 2019-04-17 |
| 1548720568 | First Choice Family Healthcare Clinic Pllc | Clinic/Center | 119 S Oak Ste 2, Raymond, MS 39154-4205 | 2019-03-25 |
| 1619441326 | Rebekah Dawn Cowell | Massage Therapist | 702 Fowler St, Raymond, WA 98577-3610 | 2019-01-15 |
| Find all providers in RAYMOND | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932314192 | Raymond Drug Store,inc. | Pharmacy | 112 W.main St., Raymond, MS 39154-1205 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| 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.