DR. MELISSA SULLIVAN (NPI# 1982021366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982021366 |
| Entity Type | Individual |
| Full Name | DR. MELISSA SULLIVAN |
| Credential | PHARM.D. |
| Practice Address |
12810 S Tryon St Charlotte NC 28273-6949 |
| Practice Telephone | 7045870513 |
| Practice Fax Number | 7049000625 |
| Mailing Telephone | 7045870513 |
| Mailing Fax Number | 7049000625 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 27084 | GA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 21902 | NC | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 14097 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1831697796 | Melissa Irene Sullivan | Pharmacist | 612 E Main St, Hohenwald, TN 38462-2008 | 2018-01-25 |
| 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 |
12810 S TRYON ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-6949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800992 | Craig Thibeault | Pharmacist | 12810 S Tryon St, Charlotte, NC 28273-6949 | 2020-08-04 |
| 1346795044 | Taylor Seifert | Pharmacist | 12810 S Tryon St, Charlotte, NC 28273 | 2016-08-23 |
| 1609229442 | Heather Mcginn | Pharmacist | 12810 S Tryon St, Charlotte, NC 28273-6949 | 2016-07-17 |
| 1801296983 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 12810 S Tryon St, Charlotte, NC 28273-6949 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| 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 |
|---|---|---|---|---|
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1629688668 | Anu James | Pharmacist | 7005 Flying Scotsman Dr, Charlotte, NC 28213-5369 | 2020-08-05 |
| 1821608977 | Liza Carolina Schimmelfing | Pharmacist | 1300b East Blvd, Charlotte, NC 28203-5802 | 2020-08-04 |
| 1558986083 | Brooke Maag | Pharmacist | 12600 District South Dr Apt 2203, Charlotte, NC 28277-5209 | 2020-06-10 |
| 1508485707 | Mais Anis Humaideh | Pharmacist | 4521 Hamptonridge Dr Apt 207, Charlotte, NC 28210-1386 | 2020-04-09 |
| 1629603071 | Hind Al-bayati | Pharmacist | 9008 Woodbine Walk Rd Apt 7200, Charlotte, NC 28277-7004 | 2020-03-05 |
| 1659922219 | Dustin Thomas Roe | Pharmacist | 210 E Trade St Ste 186, Charlotte, NC 28202-2413 | 2019-09-25 |
| 1437718020 | Tiffany Kneuss | Pharmacist | 1021 Morehead Medical Dr Ste 70100, Charlotte, NC 28204-2990 | 2019-06-07 |
| 1104395029 | Christelle Pouani Kouemo | Pharmacist | 9816 Rocky Ford Club Rd, Charlotte, NC 28269-2860 | 2018-11-20 |
| Find all providers in CHARLOTTE | ||||
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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.