MELISSA IRENE SULLIVAN (NPI# 1831697796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831697796 |
| Entity Type | Individual |
| Full Name | MELISSA IRENE SULLIVAN |
| Credential | PHARMD. |
| Practice Address |
612 E Main St Hohenwald TN 38462-2008 |
| Practice Telephone | 9317963284 |
| Practice Fax Number | 9317965081 |
| Mailing Telephone | 9317963284 |
| Mailing Fax Number | 9317965081 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9424 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TENNESSEE BOARD OF PHARMACY | 9424 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982021366 | Melissa Sullivan | Pharmacist | 12810 S Tryon St, Charlotte, NC 28273-6949 | 2014-03-24 |
| 1164771390 | Melissa Anne Sullivan | Social Worker | 305 Timber Ridge Ct, Joliet, IL 60431-1703 | 2012-09-04 |
| 1083912281 | Melissa T Sullivan | Dental Hygienist | 67344 Trout Rd, Montrose, CO 81403-8670 | 2011-03-11 |
| 1790086221 | Melissa Anne Sullivan | Nurse Practitioner | 141 E Glaucus St, Apt A, Encinitas, CA 92024-1603 | 2010-11-15 |
| 1316170236 | Melissa Sullivan | Occupational Therapist | 6929 N Roxbury Mill Rd, Spotsylvania, VA 22551-2440 | 2009-08-26 |
| 1396345641 | Melissa N Sullivan | Pharmacist | 8300 W 135th St, Overland Park, KS 66223-1143 | 2020-10-27 |
| 1346767118 | Melissa Jane Sullivan | Speech-Language Pathologist | 44444 Mound Rd Ste 610, Sterling Heights, MI 48314 | 2017-08-23 |
| 1275913832 | Melissa Lynn Sullivan | Registered Nurse | 460 W 10th Ave, Columbus, OH 43210-1240 | 2015-06-08 |
| 1104211135 | Melissa Sullivan | Psychiatry & Neurology | 2000 Warrington Way Ste 210, Louisville, KY 40222-6409 | 2015-04-06 |
| 1134497357 | Melissa A Sullivan | Social Worker | 12300 Washington Hwy, Ashland, VA 23005-7646 | 2011-12-02 |
| Street Address |
612 E MAIN ST |
| City | HOHENWALD |
| State | TN |
| Zip Code | 38462-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982109583 | Treston Humphreys | Pharmacist | 612 E Main St, Hohenwald, TN 38462-2008 | 2018-03-26 |
| 1386661551 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 612 E Main St, Hohenwald, TN 38462-2008 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326392135 | High Forest Health Group | Family Medicine | 120 Kittrell St, Hohenwald, TN 38462 | 2012-10-31 |
| 1538124045 | Lewis County Nursing and Rehabilitation Center Inc | Nursing Facility/Intermediate Care Facility | 119 Kittrell St, Hohenwald, TN 38462 | 2006-04-18 |
| 1083680748 | Gordon Beats Earnhart Again LLC | Durable Medical Equipment & Medical Supplies | 37 N Maple St, Hohenwald, TN 38462 | 2006-02-23 |
| 1780654756 | Joseph Davidson Forbes | Internal Medicine | 617 W Main St, Hohenwald, TN 38462 | 2006-01-24 |
| 1194217547 | Susan Annette Hensley | Advanced Practice Midwife | 543 E Main St, Hohenwald, TN 38462 | 2018-06-01 |
| 1043645047 | Alicia Kay Sherman | Licensed Practical Nurse | 549 Forrest Ave, Hohenwald, TN 38462-1026 | 2013-09-09 |
| 1639476955 | S & L Express | Non-emergency Medical Transport (VAN) | 628 Thomas Ave, Hohenwald, TN 38462-1032 | 2011-02-23 |
| 1851372056 | Ralph Ernest Grossheim Jr. | Dentist | 51 Smith Ave, Hohenwald, TN 38462-1124 | 2005-11-07 |
| 1891334868 | Tamitha Rhinehart | Registered Nurse | 51 Smith Ave, Hohenwald, TN 38462-1124 | 2019-12-23 |
| 1639558562 | Jenny Brewer | Registered Nurse | 51 Smith Ave, Hohenwald, TN 38462-1124 | 2015-05-26 |
| Find all providers in zip 38462 | ||||
| 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 |
|---|---|---|---|---|
| 1043829666 | Jonathan Jones | Pharmacist | 121 W Main St, Hohenwald, TN 38462-1404 | 2020-07-29 |
| 1871071530 | Tiffany Dawn Hurst | Pharmacist | 110 Kittrell St, Hohenwald, TN 38462-1363 | 2018-08-03 |
| 1982109583 | Treston Humphreys | Pharmacist | 612 E Main St, Hohenwald, TN 38462-2008 | 2018-03-26 |
| 1326489618 | Abbe Lynn Lawdon | Pharmacist | 111 Emily Dr, Hohenwald, TN 38462-1237 | 2013-07-15 |
| 1083798136 | James Ricky Jones | Pharmacist | 121 W Main St, Hohenwald, TN 38462-1404 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447628 | Daniel Lasselle | Pharmacist | 3133 Boulder Park Dr, Nashville, TN 37214-3821 | 2020-11-03 |
| 1407453756 | Cameron Davidson | Pharmacist | 1037 Livingstone Ln, Mount Juliet, TN 37122-0605 | 2020-10-08 |
| 1669089041 | Victor Ikechukwu Emmanuel | Pharmacist | 107 Charles E Davis Blvd # 2745, Nashville, TN 37210-2745 | 2020-09-29 |
| 1730796467 | Judy Trac | Pharmacist | 410 Mayfield Pl, Brentwood, TN 37027-8542 | 2020-09-27 |
| 1023623279 | Jansje M Hoppe-roberts | Pharmacist | 2539 Brachton Ave, Germantown, TN 38139-6409 | 2020-09-14 |
| 1093320285 | Joanna J Porter | Pharmacist | 4021 Meadow Hill Dr, Nashville, TN 37218-1728 | 2020-09-14 |
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1841805637 | Jenifer C. Jennings | Pharmacist | 615 State St Apt 201, Knoxville, TN 37902-1243 | 2020-09-09 |
| 1477167500 | Alysa Alexandria Ness | Pharmacist | 105 Woodyside Dr, Hendersonville, TN 37075-4445 | 2020-09-05 |
| 1790398287 | Haleema Saadia | Pharmacist | 3144 North Avenue, Jackson, TN 38305-0100 | 2020-08-25 |
| 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.