THOMAS S. SULLIVAN M.S., R.PH., BCNSP
NPI 1477547933
Pharmacist - Nutrition Support in Warren, MI

Q: What is Thomas Sullivan's NPI number?

The NPI number for Thomas Sullivan is 1477547933. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Q: What is Thomas Sullivan's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nutrition Support, with taxonomy code 1835N1003X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Sullivan was last updated on April 7, 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.

Active since September 09, 2005

21230 DEQUINDRE RD, WARREN, MI 48091(586) 880-2483 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Thomas S. Sullivan M.s., R.ph., Bcnsp NPPES

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

THOMAS S. SULLIVAN M.S., R.PH., BCNSP (NPI 1477547933) is an individual nutrition support provider in Warren, Michigan, licensed in Michigan (5302025761) and active in the NPI registry since September 2005. He maintains a secondary practice location in Grosse Pointe Farms.

NPPES Registry Identity

NPI1477547933

Entity TypeIndividualMale

Primary Taxonomy1835N1003X

Provider Legal NameTHOMAS S. SULLIVANCredential: M.S., R.PH., BCNSP

Location Address21230 DEQUINDRE RDWarren, MI 48091-2279

Mailing Address324 Belanger StGrosse Pointe Farms, MI 48236-3302 · (313) 378-5416

Phone(586) 880-2483

Sole ProprietorNo

Enumeration DateSeptember 9, 2005

Last NPPES UpdateApril 7, 2022

NPPES CertifiedApril 7, 2022

✔ NPI 1477547933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Nutrition SupportPharmacy Service Providers

Taxonomy Code1835N1003X

License✔ Licensed in MI · 5302025761

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

Also ListedPharmacistTaxonomy 183500000X · License 5302025761 (MI)

21230 DEQUINDRE RD, Warren, MI 48091

Open in Google Maps ↗

Secondary Practice Location 1

Location 1159 Kercheval AveGrosse Pointe Farms, MI 48236-3610 · Phone (313) 640-2385 · Fax (313) 343-8657

Other Providers at the Same Location NPPES 20

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

MR. ROMULO GASMEN PASCUA CRNA

Nurse Anesthetist, Certified Registered