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

Mr. Thomas Edward Sullivan, RPH

Individual provider Pharmacist · NPI 1215064050

Mr. Thomas Edward Sullivan, RPH is a Pharmacist in St Augustine, Florida. Licensed in Florida, Massachusetts and North Carolina. Registered with an NPI since 2007.

Licensed in
FL, MA, NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1010 S Ponce Deleon Blvd Winn-Dixie Pharmacy
St Augustine, FL 32084
Phone: (904) 825-2181
Fax: (904) 829-3643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS25069 (FL)
Pharmacist Taxonomy 183500000X · Licence NC 8523 (NC)
Pharmacist Taxonomy 183500000X · Licence MA 15211 (MA)

Record details

NPI number1215064050
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1563 Barrington Cir, St Augustine, FL 32092-3619

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