Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John P. Sullivan, MS, PHARMD, RPH

Individual provider Pharmacist · NPI 1962290460

Dr. John P. Sullivan, MS, PHARMD, RPH is a Pharmacist in Medford, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

3920 Mystic Valley Pkwy #1112
Medford, MA 02155-6911
Phone: (617) 620-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH1001193 (MA)

Record details

NPI number1962290460
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PHARMD , RPH
Sole proprietorNo
NPI enumeratedApril 25, 2025
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

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