Sullivan Pharmaceuticals Inc

Sullivan Pharmaceuticals Inc is a healthcare organization registered as Community/Retail Pharmacy in Oakland, CA, holding Type 2 (organization) NPI 1639217623 since 2007. The authorized official on file is William Sullivan, Pharmacist in Charge.

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NPI	1639217623
Entity type	Organization (Type 2)
Legal business name	Sullivan Pharmaceuticals Inc
Other name	<Unavail>
Practice address	6123 LA SALLE AVE, Oakland, CA, 94611
Phone	5103399393
Fax	5103399394
Enumeration date	2007-02-02
Last updated in NPPES	2011-11-18

Authorized official

Name	William Sullivan
Title	Pharmacist in Charge
Phone	5103399393

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
333600000X	Pharmacy	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Primary	PHY38259	CA

Other identifiers

Identifier	Type	State	Issuer
0539431	Other	—	NCPDP PROVIDER IDENTIFICATION NUMBER
PHA382590	Medicaid	CA	—

Copy-ready billing details

Provider: Sullivan Pharmaceuticals Inc
NPI: 1639217623
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 6123 LA SALLE AVE, Oakland, CA, 94611

Verify this record

Cross-check NPI 1639217623 against the authoritative CMS record: view Sullivan Pharmaceuticals Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-11-18. Verify at npiregistry.cms.hhs.gov.

Where is Sullivan Pharmaceuticals Inc located?

The practice location on file with NPPES is in Oakland, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-18.