Dr Brandon Michael Sullivan, PHARMD is a
Pharmacist based in Holden, Missouri. Dr Brandon Michael Sullivan is licensed to practice in Missouri (license number 2023028666) and his current practice location is
1200 E 10th St Ste B, Holden, Missouri. He can be reached at his office (for appointments etc.) via phone at
(816) 850-5415.
NPI number for Dr Brandon Michael Sullivan is 1053186114 and his current mailing address is 259 W Park Rd, Garnett, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053186114.
Healthcare Provider's Profile
Full Name | Dr Brandon Michael Sullivan |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 1200 E 10th St Ste B, Holden, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053186114
- Provider Enumeration Date: 11/20/2023
- Last Update Date: 11/20/2023
Medical Identifiers
Medical identifiers for Dr Brandon Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053186114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 2023028666 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brandon Michael Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Brandon Michael Sullivan, PHARMD 259 W Park Rd, Garnett, KS 66032-1080 Ph: (785) 448-3600 | Dr Brandon Michael Sullivan, PHARMD 1200 E 10th St Ste B, Holden, MO 64040-8802 Ph: (816) 850-5415 |
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