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

John Peter Sullivan

Individual provider Pharmacist · NPI 1073348629

John Peter Sullivan is a Pharmacist in Tijeras, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2024

Practice location Address checks out

16 Calle Del Media
Tijeras, NM 87059-7421
Phone: (832) 865-2880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP00007398 (NM)

Record details

NPI number1073348629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 4, 2024
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address16 Calle Del Media, Tijeras, NM 87059-7421

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