MAURICE E SULLIVAN (NPI# 1770508749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770508749 |
| Entity Type | Individual |
| Full Name | MAURICE E SULLIVAN |
| Credential | R. PH. |
| Practice Address |
801 N Obannon St Raymond IL 62560-5283 |
| Mailing Address |
708 Cedar St Gillespie IL 62033 |
| Practice Telephone | 2178392909 |
| Practice Fax Number | 2178391300 |
| Mailing Telephone | 2178392909 |
| Mailing Fax Number | 2178391300 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51-027702 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649496076 | Maurice Eugene Sullivan IIi | Chiropractor | 1209 N Main St, #b, Chatham, IL 62629-0264 | 2007-04-17 |
| 1194807719 | Maurice J Sullivan | Internal Medicine | 461 Heymann Blvd, Lafayette, LA 70503-2616 | 2006-10-20 |
| Street Address |
801 N OBANNON ST |
| City | RAYMOND |
| State | IL |
| Zip Code | 62560-5283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477539732 | Maurice E Sullivan | Durable Medical Equipment & Medical Supplies | 801 N Obannon St, Raymond, IL 62560-5283 | 2005-12-19 |
| 1013255942 | Springfield Clinic LLP | Clinic/Center | 801 N Obannon St, Raymond, IL 62560-5283 | 2013-01-28 |
| 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 | 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 |
|---|---|---|---|---|
| 1871094102 | Healing Hands Pharmacy Solutions | Pharmacist | 13010 Hwy 18, Raymond, MS 39154-9520 | 2018-02-22 |
| 1609182153 | Christopher J Lacoursiere | Pharmacist | 624 Webbs Mills Rd, Raymond, ME 04071-6203 | 2010-08-22 |
| 1053625590 | James R Engels | Pharmacist | 3 Freetown Rd, Raymond, NH 03077-2394 | 2010-07-26 |
| 1962614578 | Raymond United Drug LLC | Pharmacist | 707 Willapa Place, Raymond, WA 98577 | 2007-05-04 |
| 1508962531 | Sagen's Pharmacy Inc | Pharmacist | 515 Commercial St, Raymond, WA 98577-2509 | 2006-09-16 |
| 1689275422 | Pamela-jo Ambrose Lopes | Pharmacist | 2 Freetown Rd, Raymond, NH 03077-2342 | 2020-11-06 |
| 1073043543 | Ashton Lee Booth Spencer | Pharmacist | 3 Freetown Rd, Raymond, NH 03077-2394 | 2017-06-15 |
| 1376826438 | Mark Koenig | Pharmacist | 3 Freetown Rd, Raymond, NH 03077-2394 | 2011-09-26 |
| 1659500239 | Pamela Joplin | Pharmacist | 53 Route 27, Raymond, NH 03077-1224 | 2009-07-05 |
| 1205052982 | Robert Joseph Stout | Pharmacist | 2 Freetown Rd, Raymond, NH 03077-2342 | 2007-04-18 |
| Find all providers in RAYMOND | ||||
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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.