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Deactivated NPI 1235452343 Deactivated / Inactive NPI Male Practitioner

Timothy Sullivan

Pharmacist • Somers, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Timothy Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 03, 2010
NPI Deactivation Date January 29, 2026
Total Practice Duration ~16 Years of Practice (2010 – 2026)

Professional Overview & Biography Verified Profile Summary

Timothy Sullivan was a registered Pharmacist practicing in Somers, NY. Throughout an active medical career spanning 16 years, Timothy Sullivan provided care at the practice location at 336 ROUTE 202 until profile deactivation on 2026-01-29.

Practice Location & Contact Primary Location

Practice Address

336 Route 202

Somers, NY 105893220

Telephone 9142762121
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Somers, NY

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

Practicing in Somers, NY (23779 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 NY 028367-1

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

1 Associated Practitioners
Matthew Golden

Pharmacist

NPI 1578886784

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 29, 2026

Record deactivated on January 29, 2026

NPI Profile Active March 03, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 03, 2010

Registered at 336 ROUTE 202, SOMERS, NY 105893220 (Tel: 9142762121)

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Updated Business Mailing Address March 03, 2010

Registered at 336 ROUTE 202, SOMERS, NY 105893220

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Provider Name / Credentials Updated March 03, 2010

Recorded as TIMOTHY SULLIVAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2010

Pharmacist (License #028367-1 in NY)

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Initial NPI Registration & Enumeration March 03, 2010

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: 1235452343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2010
Last Update: March 03, 2010
Deactivation Date: January 29, 2026

Mailing Address

336 Route 202

Somers, NY 105893220

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.