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LACEY JAY SULLIVAN PHARMD
NPI 1194070235
Pharmacist in Phoenix, AZ

Active since July 15, 2012
4302 W BUCKEYE RD STE 109, PHOENIX, AZ 85043(800) 379-0092 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2019, Nov 26, 2018, Nov 17, 2018 (3 updates tracked since 2018).

About Lacey Jay Sullivan Pharmd NPPES

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

LACEY JAY SULLIVAN PHARMD (NPI 1194070235) is an individual pharmacist in Phoenix, Arizona, licensed in Arizona (S019202) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1194070235
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameLACEY JAY SULLIVANCredential: PHARMD
Location Address4302 W BUCKEYE RD STE 109Phoenix, AZ 85043-4904
Mailing Address4302 W Buckeye Rd Ste 109Phoenix, AZ 85043-4904
Phone(800) 379-0092
Sole ProprietorNo
Enumeration DateJuly 15, 2012
Last NPPES UpdateJune 14, 20223 updates tracked since enumeration
NPPES CertifiedJune 14, 2022
✔ NPI 1194070235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in AZ · S019202✔ Licensed in IA · 21887
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.
4302 W BUCKEYE RD STE 109, Phoenix, AZ 85043
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Other Names 1

Former Name (1)Lacey Jay Roach Pharmd

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LANGDON LI PHARMD.
Pharmacist
4302 W BUCKEYE RD STE 109
PHOENIX, AZ 85043
Maricopa County (800) 379-0092
CENTERWELL PHARMACY, INC.
Pharmacy (Specialty Pharmacy)
4302 W BUCKEYE RD STE 109
PHOENIX, AZ 85043
Maricopa County (800) 379-0092
MRS. AMANDA LARAYNE MACARI PHARMD
Pharmacist
4302 W BUCKEYE RD STE 109
PHOENIX, AZ 85043
Maricopa County (800) 781-3894
COURTNEY CANNER PHARMD
Pharmacist
4302 W BUCKEYE RD STE 109
PHOENIX, AZ 85043
Maricopa County (855) 250-7660
DEBRA ANN DROOPAD PHARMD
Pharmacist
4302 W BUCKEYE RD STE 109
PHOENIX, AZ 85043
Maricopa County (800) 379-0092
ELIZABETH SCHUHLER PHARMD
Pharmacist
4302 W BUCKEYE RD STE 109
PHOENIX, AZ 85043
Maricopa County (800) 379-0092

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 Lacey Sullivan's NPI number?

The NPI number for Lacey Sullivan is 1194070235. It was assigned to this individual provider in the NPPES registry on July 15, 2012. The provider is also known as Lacey Jay Roach Pharmd.

Where is Lacey Sullivan located?

Lacey Sullivan practices at 4302 W Buckeye Rd Ste 109, Phoenix, AZ 85043. The listed phone number is (800) 379-0092.

What is Lacey 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 Lacey Sullivan was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.