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Active NPI 1164916656 Individual Practitioner Male Practitioner

Jacob Sullivan , RPH

Pharmacist • Liberty Lake, WA

Professional Overview & Biography Verified Profile Summary

Jacob Sullivan, RPH is a registered healthcare professional specializing in Pharmacist in Liberty Lake, WA. Practice services are available at 23102 E APPLEWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23102 E Appleway Ave

Liberty Lake, WA 990199585

Telephone 5099288738
Associated Practice Facility / Clinic
🏢 Bellevue Healthcare Ii Inc Facility NPI 1285853069

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Liberty Lake, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Liberty Lake, WA (7956 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 WA PH00069866

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
Craig Broom

Pharmacist

NPI 1477952257

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 18, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2018

Registered at 23102 E APPLEWAY AVE, LIBERTY LAKE, WA 990199585 (Tel: 5099288738)

📍
Updated Business Mailing Address June 18, 2018

Registered at PO BOX 608, NEWMAN LAKE, WA 990250608 (Tel: 5099818315)

👤
Provider Name / Credentials Updated June 18, 2018

Recorded as JACOB SULLIVAN, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2018

Pharmacist (License #PH00069866 in WA)

🟢
Initial NPI Registration & Enumeration June 18, 2018

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: 1164916656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2018
Last Update: June 18, 2018
Sole Proprietor: Yes

Mailing Address

Po Box 608

Newman Lake, WA 990250608

Phone: 5099818315

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.