Cassandra Renee Clark Gedraitis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH239886 Issued in MA

Practice address

1653 Main St
Athol, MA 01331-2640

Phone

(978) 249-6715

Fax

(978) 249-9965

NPI assigned

Dec 12, 2011

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2026.

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1487922985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 INDIAN HILL RD",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121419",
            "telephone_number": "978-249-6715",
            "fax_number": "978-249-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312640",
            "telephone_number": "978-249-6715",
            "fax_number": "978-249-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDRAITIS",
        "first_name": "CASSANDRA",
        "middle_name": "RENEE CLARK",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007760",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH239886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Athol, MA
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.