Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477547933 Individual Practitioner Male Practitioner

Thomas S. Sullivan , MS, RPH, BCNSP

Pharmacist - Nutrition Support • Warren, MI

Professional Overview & Biography Verified Profile Summary

Thomas Sullivan, MS, RPH, BCNSP is a registered healthcare professional specializing in Pharmacist - Nutrition Support in Warren, MI. Practice services are available at 21230 DEQUINDRE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21230 Dequindre Rd

Warren, MI 480912279

Telephone 5868802483
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Nutrition Support in Warren, MI

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

Practicing in Warren, MI (5 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: 2022-04-07
Pharmacist - Nutrition Support Primary Specialty

NUCC Taxonomy Code: 1835N1003X

State License MI 5302025761

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License MI 5302025761

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.

Secondary Practice Locations

159 Kercheval Ave

Grosse Pointe Farms, MI 482363610

Phone: 3136402385

Practice Associates & Co-Workers

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

1 Associated Practitioners
Patrick Butters , RPH

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1629593868

Registered Pharmacist

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 07, 2022

Registered at 21230 DEQUINDRE RD, WARREN, MI 480912279 (Tel: 5868802483)

📍
Updated Business Mailing Address April 07, 2022

Registered at 324 BELANGER ST, GROSSE POINTE FARMS, MI 482363302 (Tel: 3133785416)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2022

Pharmacist (License #5302025761 in MI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 482363610 (Tel: 3136402385)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1234 HARVARD RD, GROSSE POINTE PARK, MI 482301132 (Tel: 3133431646)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS SULLIVAN, M.S., R.PH., BCNSP

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

Pharmacist (License #5302025761 in MI)

🟢
Initial NPI Registration & Enumeration September 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1477547933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2005
Last Update: April 07, 2022
Sole Proprietor: No

Mailing Address

324 Belanger St

Grosse Pointe Farms, MI 482363302

Phone: 3133785416

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.