Sophia Benedisuk, PHARMD

Individual provider Active NPI Pharmacist · Lunenburg, MA

NPI 1245114271 · NPPES record last updated Aug 4, 2025

Key facts

NPI
1245114271
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH1000352 (MA)
Practice address
454 Electric Ave
Lunenburg, MA 01462-2538
Phone
(978) 343-3676
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH1000352MAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH1000352 MA Yes

Addresses

Primary practice location

454 Electric Ave
Lunenburg, MA 01462-2538

Mailing address

454 Electric Ave
Lunenburg, MA 01462-2538

Other providers in Lunenburg, MA

All providers in Lunenburg, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.