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

Lacey Jay Sullivan, PHARMD

Individual provider Pharmacist · NPI 1194070235

Lacey Jay Sullivan, PHARMD is a Pharmacist in Phoenix, Arizona. Licensed in Arizona and Iowa. Registered with an NPI since 2012.

Licensed in
AZ, IA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

4302 W Buckeye Rd Ste 109
Phoenix, AZ 85043-4904
Phone: (800) 379-0092
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S019202 (AZ)
Pharmacist Taxonomy 183500000X · Licence 21887 (IA)

Record details

NPI number1194070235
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 15, 2012
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing address4302 W Buckeye Rd Ste 109, Phoenix, AZ 85043-4904

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