Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962290460 Individual Practitioner Male Practitioner

Dr. John P. Sullivan , MS, PharmD, RPH

Pharmacist • Medford, MA

Professional Overview & Biography Verified Profile Summary

Dr. John Sullivan, MS, PharmD, RPH is a registered healthcare professional specializing in Pharmacist in Medford, MA. Practice services are available at 3920 MYSTIC VALLEY PKWY #1112 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3920 Mystic Valley Pkwy #1112

Medford, MA 021556911

Telephone 6176201020

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Medford, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Medford, MA (6023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-03
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MA PH1001193

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 03, 2026

Registered at 3920 MYSTIC VALLEY PKWY #1112, MEDFORD, MA 021556911 (Tel: 6176201020)

📍
Updated Business Mailing Address April 03, 2026

Registered at 3920 MYSTIC VALLEY PKWY #1112, MEDFORD, MA 021556911

📍
Updated Practice Location August 13, 2025

Registered at 67 CENTRAL STREET, FOXBOROUGH, MA 02035 (Tel: 5085436646)

📍
Updated Business Mailing Address August 13, 2025

Registered at 67 CENTRAL STREET, FOXBOROUGH, MA 02035 (Tel: 5085436646)

👤
Provider Name / Credentials Updated August 13, 2025

Recorded as JOHN SULLIVAN, MS, PHARMD, RPH

NPI Profile Active April 25, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2025

Registered at 3920 MYSTIC VALLEY PKWY #1112, MEDFORD, MA 02155 (Tel: 6176201020)

📍
Updated Business Mailing Address April 25, 2025

Registered at 3920 MYSTIC VALLEY PKWY #1112, MEDFORD, MA 02155 (Tel: 6176201020)

👤
Provider Name / Credentials Updated April 25, 2025

Recorded as JOHN SULLIVAN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2025

Pharmacist (License #PH1001193 in MA)

🟢
Initial NPI Registration & Enumeration April 25, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962290460
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2025
Last Update: April 03, 2026
Sole Proprietor: No

Mailing Address

3920 Mystic Valley Pkwy #1112

Medford, MA 021556911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.