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

Grant E Sullivan, RPH

Individual provider Pharmacist · NPI 1023135944

Grant E Sullivan, RPH is a Pharmacist in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

625 W Clinton St
Ithaca, NY 14850-5235
Phone: (607) 273-3647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 034960 (NY)

Record details

NPI number1023135944
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedMarch 24, 2007
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023
Mailing address625 W Clinton St, Ithaca, NY 14850-5235

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