JOHN PETER SULLIVAN
NPI 1073348629
Pharmacist in Tijeras, NM

Active since September 04, 2024
16 CALLE DEL MEDIA, TIJERAS, NM 87059(832) 865-2880 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Peter Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN PETER SULLIVAN (NPI 1073348629) is an individual pharmacist in Tijeras, New Mexico, licensed in New Mexico (RP00007398) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1073348629
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJOHN PETER SULLIVAN
Location Address16 CALLE DEL MEDIATijeras, NM 87059-7421
Mailing Address16 Calle Del MediaTijeras, NM 87059-7421 · (832) 865-2880
Sole ProprietorYes
Enumeration DateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
NPI 1073348629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NM · RP00007398
Definition
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.
16 CALLE DEL MEDIA, Tijeras, NM 87059

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Sullivan's NPI number?

The NPI number for John Sullivan is 1073348629. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is John Sullivan located?

John Sullivan practices at 16 Calle Del Media, Tijeras, NM 87059. The listed phone number is (832) 865-2880.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.