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KAITLYN MARIE SULLIVAN PHARMD
NPI 1710477062
Pharmacy - Community/Retail Pharmacy in Russellton, PA

Active since May 12, 2018
738 LITTLE DEER CREEK VALLEY RD, RUSSELLTON, PA 15076(724) 265-1632(724) 265-1120 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 10, 2024, Jul 25, 2019, Jun 21, 2019 and 2 more (5 updates tracked since 2018).

About Kaitlyn Marie Sullivan Pharmd NPPES

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

KAITLYN MARIE SULLIVAN PHARMD (NPI 1710477062) is an individual community/retail pharmacy provider in Russellton, Pennsylvania, licensed in Pennsylvania (RP452064) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1710477062
Entity TypeIndividualFemale
Primary Taxonomy3336C0003X
Provider Legal NameKAITLYN MARIE SULLIVANCredential: PHARMD
Location Address738 LITTLE DEER CREEK VALLEY RDRussellton, PA 15076-1333
Mailing Address2922 Manuel DrAllison Park, PA 15101-4154 · (814) 952-9237
Phone(724) 265-1632
Fax(724) 265-1120
Sole ProprietorYes
Enumeration DateMay 12, 2018
Last NPPES UpdateApril 10, 20245 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1710477062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in PA · RP452064
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
738 LITTLE DEER CREEK VALLEY RD, Russellton, PA 15076
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Other Identifiers 1

Medicaid1036260510001PA

Other Providers at the Same Location NPPES

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

PALMER PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
738 LITTLE DEER CREEK VALLEY RD
RUSSELLTON, PA 15076
Allegheny County (724) 265-1632

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 Kaitlyn Sullivan's NPI number?

The NPI number for Kaitlyn Sullivan is 1710477062. It was assigned to this individual provider in the NPPES registry on May 12, 2018.

Where is Kaitlyn Sullivan located?

Kaitlyn Sullivan practices at 738 Little Deer Creek Valley Rd, Russellton, PA 15076. The listed phone number is (724) 265-1632.

What is Kaitlyn Sullivan's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Kaitlyn Sullivan was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.