Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194070235 Individual Practitioner Female Practitioner

Dr. Lacey Jay Sullivan , PharmD

Pharmacist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Lacey Sullivan, PharmD is a registered healthcare professional specializing in Pharmacist in Phoenix, AZ. Practice services are available at 4302 W BUCKEYE RD STE 109 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4302 W Buckeye Rd Ste 109

Phoenix, AZ 850434904

Telephone 8003790092
Associated Practice Facility / Clinic
🏢 Centerwell Pharmacy, Inc. Facility NPI 1386384295

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
1508 Specialists

Practicing in Phoenix, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ S019202

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License IA 21887

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1013550656

Doctor of Pharmacy (Pharm.D.)

NPI 1053917492

Doctor of Pharmacy (Pharm.D.)

NPI 1124358346

Doctor of Pharmacy (Pharm.D.)

Andrea Polk , CPHT

Pharmacy - Clinic Pharmacy

NPI 1255077293

Certified Pharmacy Technician

Matthew Lacefield , CPHT

Pharmacy Technician

NPI 1447987938

Certified Pharmacy Technician

NPI 1588084305

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Business Mailing Address June 14, 2022

Registered at 4302 W BUCKEYE RD STE 109, PHOENIX, AZ 850434904

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2022

Pharmacist (License #21887 in IA)

📍
Updated Practice Location June 13, 2022

Registered at 4302 W BUCKEYE RD STE 109, PHOENIX, AZ 850434904 (Tel: 8003790092)

📍
Updated Business Mailing Address June 13, 2022

Registered at 22023 N 28TH PL, PHOENIX, AZ 850508222 (Tel: 3194930942)

📍
Updated Practice Location March 14, 2019

Registered at 21132 N 36TH PL, PHOENIX, AZ 850508386 (Tel: 3194930942)

📍
Updated Business Mailing Address March 14, 2019

Registered at 21132 N 36TH PL, PHOENIX, AZ 850508386 (Tel: 3194930942)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2019

Pharmacist (License #S019202 in AZ)

📍
Updated Practice Location November 26, 2018

Registered at 8990 W GLENDALE AVE, GLENDALE, AZ 853051127 (Tel: 6024420800)

📍
Updated Business Mailing Address November 26, 2018

Registered at 8990 W GLENDALE AVE, GLENDALE, AZ 853051127 (Tel: 6024420800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2018

Pharmacist (License #21887 in IA)

NPI Profile Active March 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2016

Registered at 15450 N TATUM BLVD, PHOENIX, AZ 850324241 (Tel: 6029963707)

📍
Updated Business Mailing Address March 13, 2016

Registered at 15450 N TATUM BLVD, PHOENIX, AZ 850324241 (Tel: 6029963707)

👤
Provider Name / Credentials Updated March 13, 2016

Recorded as LACEY SULLIVAN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2016

Pharmacist (License #S019202 in AZ)

🟢
Initial NPI Registration & Enumeration July 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Lacey Sullivan. Be the first to share your experience!

Sign in to leave a review for Dr. Lacey Sullivan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194070235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2012
Last Update: June 14, 2022
Sole Proprietor: No

Mailing Address

4302 W Buckeye Rd Ste 109

Phoenix, AZ 850434904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.