STEVE HADEN SULLIVAN (NPI# 1538245022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538245022 |
| Entity Type | Individual |
| Full Name | STEVE HADEN SULLIVAN |
| Credential | P.D. |
| Practice Address |
208 Main St. Horatio AR 71842 |
| Mailing Address |
414 W Highway 70 B De Queen AR 71832-2928 |
| Practice Telephone | 8708322561 |
| Practice Fax Number | 8708325405 |
| Mailing Telephone | 8705844676 |
| Mailing Fax Number | 8708325405 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 9163 | OK | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PD06508 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366080327 | Steve Sullivan | Peer Specialist | 885 E Buchtel Ave, Akron, OH 44305-2338 | 2019-12-20 |
| 1093908188 | Steve T Sullivan | Dental Hygienist | 6588 E Main St, Farmington, NM 87402-5122 | 2007-08-22 |
| 1447210505 | Steve Edward Sullivan | Physical Therapist | 2601 Ferry St, Lafayette, IN 47904-3061 | 2006-03-24 |
| Street Address |
208 MAIN ST. |
| City | HORATIO |
| State | AR |
| Zip Code | 71842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528563244 | Vaught Care Center LLC | Clinic/Center | 206 W Main St, Horatio, AR 71842-0308 | 2018-03-26 |
| 1447602321 | Emilee Gayle Vaught | Nurse Practitioner | 206 W Main St, Horatio, AR 71842-0308 | 2016-07-05 |
| 1790909125 | Supt of Horatio High | Local Education Agency (LEA) | 205 Isbell St, Horatio, AR 71842-0435 | 2007-04-13 |
| 1568588499 | Living Hope | Psychiatric Hospital | 601 Main St, Horatio, AR 71842-8729 | 2007-03-22 |
| 1235255027 | Brandy R Pulliam | Case Manager/Care Coordinator | 601 Main St, Horatio, AR 71842-8729 | 2007-03-22 |
| 1184238149 | Lauren Thomas | Nurse Practitioner | 1747 Highway 24, Horatio, AR 71842-8860 | 2020-09-06 |
| 1871718999 | Kristy Lynn Randall | Contractor | 338 Randall Rd, Horatio, AR 71842-8896 | 2007-04-16 |
| 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 |
|---|---|---|---|---|
| 1447851191 | Angie Mae Johnson | Pharmacist | 1250 S Amity Rd, Conway, AR 72032-8732 | 2020-11-07 |
| 1417558214 | Shara Parrish | Pharmacist | 2252 N 8th St, Rogers, AR 72756-2842 | 2020-11-06 |
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1497356711 | Joshua Craig Cummins | Pharmacist | 1172 Highway 7 North, Dardanelle, AR 72834 | 2020-11-03 |
| 1790386316 | Chintan Patel | Pharmacist | 800 Highway 64, Wynne, AR 72396-7408 | 2020-11-02 |
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1710587605 | Jordan Tyler Reed | Pharmacist | 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 | 2020-10-29 |
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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.