John P. Sullivan, MS, PHARMD, RPH

Pharmacist · Medford, MA

Individual Active NPI

NPI number 1962290460

Practice location

3920 Mystic Valley Pkwy #1112
Medford, MA 02155-6911
Phone
(617) 620-1020

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NPI record

NPI
1962290460
Entity type
Individual (Type 1)
Enumeration date
April 25, 2025
Last updated
April 3, 2026
Certified
April 3, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PH1001193 MA

About John Sullivan

John P. Sullivan, MS, PHARMD, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3920 Mystic Valley Pkwy #1112, Medford, MA 02155-6911. The NPI number 1962290460 was assigned on April 25, 2025 and the record was last updated on April 3, 2026.

John Sullivan lists a license in the registry: #PH1001193 (MA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John P. Sullivan, MS, PHARMD, RPH?

The NPI number is 1962290460.

What is the phone number of John Sullivan?

The phone number listed for the practice location is (617) 620-1020.

Where is John Sullivan located?

3920 Mystic Valley Pkwy #1112, Medford, MA 02155-6911.

What is the taxonomy code for John Sullivan?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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