OrganizationActive
Maurice E Sullivan
NPI 1477539732 · Community/Retail Pharmacy · Raymond, IL
Provider details
- NPI number
- 1477539732
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Maurice Sullivan, Owner(217) 839-2909
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 N Obannon St
Raymond, IL 62560-5283
Phone: (217) 229-3022
Fax: (217) 229-3065
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 588
Raymond, IL 62560-0588
Other names (DBA / former)
- Doing business as
- Sullivan Drug of Raymond
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2017-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.