Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215064050 Individual Practitioner Male Practitioner

Thomas Edward Sullivan , RPH

Pharmacist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Thomas Sullivan, RPH is a registered healthcare professional specializing in Pharmacist in St Augustine, FL. Practice services are available at 1010 S. PONCE DELEON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1010 S. Ponce Deleon Blvd
Winn-Dixie Pharmacy

St Augustine, FL 32084

Telephone 9048252181
Fax 9048293643

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
56 Specialists

Practicing in St Augustine, FL (19926 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS25069

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 NC NC 8523

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 MA MA 15211

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

2 Associated Practitioners
NPI 1649604182

Registered Pharmacist

NPI 1952421349

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1010 S. PONCE DELEON BLVD, WINN-DIXIE PHARMACY, ST AUGUSTINE, FL 32084 (Tel: 9048252181)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1563 BARRINGTON CIR, ST AUGUSTINE, FL 320923619 (Tel: 9049401680)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS SULLIVAN, R.PH.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #PS25069 in FL)

🟢
Initial NPI Registration & Enumeration February 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215064050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1563 Barrington Cir

St Augustine, FL 320923619

Phone: 9049401680

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.