Mr Thomas Edward Sullivan, RPH - Pharmacist in St Augustine, FL

Mr Thomas Edward Sullivan, RPH is a Pharmacist based in St Augustine, Florida. Mr Thomas Edward Sullivan is licensed to practice in Florida (license number PS25069) and his current practice location is 1010 S. Ponce Deleon Blvd, Winn-dixie Pharmacy, St Augustine, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 825-2181.

NPI number for Mr Thomas Edward Sullivan is 1215064050 and his current mailing address is 1563 Barrington Cir, St Augustine, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215064050.

Contact Information

Mr Thomas Edward Sullivan, RPH
1010 S. Ponce Deleon Blvd, Winn-dixie Pharmacy,
St Augustine, FL 32084
(904) 825-2181
(904) 829-3643

Map and Direction


Healthcare Provider's Profile

Full NameMr Thomas Edward Sullivan
GenderMale
SpecialityPharmacist
Location1010 S. Ponce Deleon Blvd, St Augustine, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215064050
  • Provider Enumeration Date: 02/28/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Thomas Edward Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215064050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist PS25069 (Florida)Primary
183500000XPharmacist NC 8523 (North Carolina)Secondary
183500000XPharmacist MA 15211 (Massachusetts)Secondary

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. Mr Thomas Edward 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 AddressPractice Location Address
Mr Thomas Edward Sullivan, RPH
1563 Barrington Cir,
St Augustine, FL 32092-3619

Ph: (904) 940-1680
Mr Thomas Edward Sullivan, RPH
1010 S. Ponce Deleon Blvd, Winn-dixie Pharmacy,
St Augustine, FL 32084

Ph: (904) 825-2181

Reviews and Comments


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Julia Sachs,
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Mrs. Ann M. Krall, RPH
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Mrs. Rebecca Arcebido Barros, PHARMD, BCACP
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Rebecca Mary Wagner, PHARMD
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Phone: 904-940-2894    Fax: 904-940-2899

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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