Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tyler Blake Sullivan, PHARMD

Individual provider Pharmacist · NPI 1144042953

Dr. Tyler Blake Sullivan, PHARMD is a Pharmacist in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2024.

Licensed in
KY
In the registry since
2024
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1000 S Limestone
Lexington, KY 40536-0001
Phone: (859) 257-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 024748 (KY)

Record details

NPI number1144042953
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 31, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address3532 Creekwood Dr Apt 17, Lexington, KY 40502-6517

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