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SANDY MAC
NPI 1093335101
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Medford, MA

Active since April 17, 2020

NPPES record last updated: September 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2021, Apr 17, 2020 (2 updates tracked since 2020).

About Sandy Mac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDY MAC (NPI 1093335101) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Medford, Massachusetts, licensed in Massachusetts (236913) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1093335101
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameSANDY MAC
Location Address85 HIGH STMedford, MA 02155-3825
Mailing Address85 High StMedford, MA 02155-3825
Phone(781) 396-4770
Sole ProprietorNo
Enumeration DateApril 17, 2020
Last NPPES UpdateSeptember 12, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2021
✔ NPI 1093335101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MA · 236913
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
85 HIGH ST, Medford, MA 02155
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE DIESZ
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
OLIVIA ETONDI PHARM D
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
NICOLE LYN SCOURAS FNP
Nurse Practitioner (Family)
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
JENNIFER AHONEN CRANE CNP, RN
Nurse Practitioner
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
MR. EMMANUEL TETTEH AGBOTTAH FNP
Nurse Practitioner (Family)
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
MEHRI POURSHADI
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
DR. ANNA WU RPH
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770
VICTORIA MCDERMOTT NP
Nurse Practitioner (Family)
85 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandy Mac's NPI number?

The NPI number for Sandy Mac is 1093335101. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Sandy Mac located?

Sandy Mac practices at 85 High St, Medford, MA 02155. The listed phone number is (781) 396-4770.

What is Sandy Mac's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Sandy Mac was last updated on September 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.