Dr Stephen John Sullivan Jr, PHARMD is a
Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Edwards Afb, California. Dr Stephen John Sullivan Jr is licensed to practice in New Mexico (license number RP00008628) and his current practice location is
30 Nightingale Road, Edwards Afb, California. He can be reached at his office (for appointments etc.) via phone at
(661) 275-2769.
NPI number for Dr Stephen John Sullivan Jr is 1164956421 and his current mailing address is 30 Nightingale Road, Edwards Afb, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164956421.
Healthcare Provider's Profile
Full Name | Dr Stephen John Sullivan Jr |
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Gender | Male |
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Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
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Location | 30 Nightingale Road, Edwards Afb, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164956421
- Provider Enumeration Date: 04/13/2017
- Last Update Date: 08/15/2024
Medical Identifiers
Medical identifiers for Dr Stephen John Sullivan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164956421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | RP00008628 (New Mexico) | 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 Stephen John Sullivan Jr 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 Stephen John Sullivan Jr, PHARMD 30 Nightingale Road, Edwards Afb, CA 93524-0001 Ph: (661) 275-2769 | Dr Stephen John Sullivan Jr, PHARMD 30 Nightingale Road, Edwards Afb, CA 93524-0001 Ph: (661) 275-2769 |
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