Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801190194 Individual Practitioner Male Practitioner

Charles Robert Sullivan

Pharmacist • Coos Bay, OR

Professional Overview & Biography Verified Profile Summary

Charles Sullivan is a registered healthcare professional specializing in Pharmacist in Coos Bay, OR. Practice services are available at 230 E JOHNSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

230 E Johnson Ave

Coos Bay, OR 974201478

Telephone 5412671709
Associated Practice Facility / Clinic
🏢 Safeway Inc Facility NPI 1588693527

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Coos Bay, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Coos Bay, OR (3654 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 OR 0012450

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

3 Associated Practitioners
NPI 1376843987

Doctor of Pharmacy (Pharm.D.)

NPI 1518543610
NPI 1841626637

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 31, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2010

Registered at 230 E JOHNSON AVE, COOS BAY, OR 974201478 (Tel: 5412671709)

📍
Updated Business Mailing Address December 31, 2010

Registered at 230 E JOHNSON AVE, COOS BAY, OR 974201478 (Tel: 5412671709)

👤
Provider Name / Credentials Updated December 31, 2010

Recorded as CHARLES SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2010

Pharmacist (License #0012450 in OR)

🟢
Initial NPI Registration & Enumeration December 31, 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: 1801190194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2010
Last Update: December 31, 2010
Sole Proprietor: No

Mailing Address

230 E Johnson Ave

Coos Bay, OR 974201478

Phone: 5412671709

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.