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Sparks Pharmacy Inc

NPI 1013021328ActiveOrganization· Pharmacy, Compounding Pharmacy· Bolivar, MO

Pharmacy, Compounding Pharmacy in Bolivar, Missouri, registered in NPPES in August 2006. The authorized official on file is Jeffrey Sparks, President.

Overview

NPI1013021328
StatusActive
Entity typeOrganization
NPI issuedAug 17, 2006
Last updated in NPPESOct 26, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Compounding Pharmacy Primary3336C0004X005482MO
Pharmacy333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years