Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467048686 Individual Practitioner Female Practitioner

Dr. Stacie Sullivan , PharmD

Pharmacist • Magee, MS

Professional Overview & Biography Verified Profile Summary

Dr. Stacie Sullivan, PharmD is a registered healthcare professional specializing in Pharmacist in Magee, MS. Practice services are available at 1625 SIMPSON HIGHWAY 49 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1625 Simpson Highway 49

Magee, MS 391114207

Telephone 6018493228
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1447277850

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Magee, MS

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

Practicing in Magee, MS (2321 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: 2020-12-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MS E-010525

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
E-010525 (MS)

Practice Associates & Co-Workers

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

5 Associated Practitioners
James Medders , RPH

Pharmacist - Ambulatory Care

NPI 1043931942

Registered Pharmacist

Vonetta Hill

Pharmacist

NPI 1376144857
NPI 1508462524

Doctor of Pharmacy (Pharm.D.)

NPI 1659059715

Doctor of Pharmacy (Pharm.D.)

Sandra Adcock

Pharmacist

NPI 1750987541

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2020

Registered at 1625 SIMPSON HIGHWAY 49, MAGEE, MS 391114207 (Tel: 6018493228)

📍
Updated Business Mailing Address December 13, 2020

Registered at 543 SIMPSON HIGHWAY 540, MENDENHALL, MS 391149065 (Tel: 6019197557)

👤
Provider Name / Credentials Updated December 13, 2020

Recorded as STACIE SULLIVAN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2020

Pharmacist (License #E-010525 in MS)

🟢
Initial NPI Registration & Enumeration December 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467048686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2020
Last Update: December 13, 2020
Sole Proprietor: Yes

Mailing Address

543 Simpson Highway 540

Mendenhall, MS 391149065

Phone: 6019197557

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.