OrganizationActive
Sullivan Pharmaceuticals Inc
NPI 1639217623 · Community/Retail Pharmacy · Oakland, CA
Sullivan Pharmaceuticals Inc is a Community/Retail Pharmacy organization in Oakland, CA (NPI 1639217623).
Provider details
- NPI number
- 1639217623
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- William Sullivan, Pharmacist in Charge(510) 339-9393
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6123 La Salle Ave
Oakland, CA 94611-2801
Phone: (510) 339-9393
Fax: (510) 339-9394
Street-level locationGet directions
Mailing address
6123 La Salle Ave
Oakland, CA 94611-2801
Other names (DBA / former)
- Doing business as
- Montclair Pharmacy
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2011-11-18
Frequently asked questions
- What is Sullivan Pharmaceuticals Inc's NPI number?
- Sullivan Pharmaceuticals Inc's National Provider Identifier (NPI) is 1639217623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sullivan Pharmaceuticals Inc?
- Sullivan Pharmaceuticals Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Sullivan Pharmaceuticals Inc located?
- Sullivan Pharmaceuticals Inc's practice location on file with NPPES is 6123 La Salle Ave, Oakland, CA 94611-2801.
- What is Sullivan Pharmaceuticals Inc's phone number?
- The practice phone number listed in the NPPES registry for Sullivan Pharmaceuticals Inc is (510) 339-9393.
- Who is the authorized official for Sullivan Pharmaceuticals Inc?
- The authorized official listed on Sullivan Pharmaceuticals Inc's NPPES record is William Sullivan, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sullivan Pharmaceuticals Inc's NPI active?
- Yes — Sullivan Pharmaceuticals Inc's NPI (1639217623) is active in the NPPES registry as of the last update on 2011-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.