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1336805597 NPI number — CASSANDRA SULLIVAN PHARM D

NPI Number: 1336805597
Health Care Provider/Practitioner: CASSANDRA SULLIVAN PHARM D

Information about “1336805597” NPI (CASSANDRA SULLIVAN PHARM D) exists in 1336805597 in HTML format HTML  |  1336805597 in plain Text format TXT  |  1336805597 in PDF (Portable Document Format) PDF  |  1336805597 in an XML format XML  formats.

NPI Number : 1336805597 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336805597",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SULLIVAN",
    "FirstName": "CASSANDRA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PHARM D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WISYANSKI",
    "OtherFirstName": "CASSANDRA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4931 PLUM WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-289-6657",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4111 WILLIAM PN HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONROEVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15146",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-372-5288",
    "PracticeLocationAddressFaxNumber": "412-374-9089",
    "EnumerationDate": "11/11/2021",
    "LastUpdateDate": "01/31/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183700000X",
          "TaxonomyName": "Pharmacy Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "RP459098",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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