Sparks Pharmacy Inc
Community/Retail Pharmacy
1001 E Cambridge St, Bolivar
Missouri, 65613-3502
417-326-7455 417-326-7757
Sparks Pharmacy Inc is a Community/Retail Pharmacy in Bolivar, Missouri. It is located at 1001 E Cambridge St, Bolivar and it's customer support contact number is 417-326-7455. The authorized person of Sparks Pharmacy Inc is Ryan Summers who is President of the pharmacy and his contact number is 417-326-7455. Active license number of Sparks Pharmacy Inc is 005482 for Community/Retail Pharmacy in Missouri. Sparks Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sparks Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Sparks Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Sparks Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 1001 E Cambridge St, Bolivar,
Missouri, 65613-3502 |
| Phone: | 417-326-7455 |
| Fax: | 417-326-7757 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ryan Summers |
| Position: | President |
| Contact Number: | 417-326-7455 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1801809785 |
| NPI Enumeration Date: | 14 Aug, 2006 |
| NPI Last Update On: | 21 Jan, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sparks Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 005482 | Missouri | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2051548 | Other | | Pk |
| 602599607 | Medicaid | Missouri | |
| 622599603 | Medicaid | Missouri | |
Medicare Enrollment:
Sparks Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1759442171 | O20081204000038 | Sparks Pharmacy, Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Sparks Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1001 E Cambridge St,
Bolivar, Missouri |
| Zip: | 65613-3502 |
| Phone Number: | 417-326-7455 |
| Fax Number: | 417-326-7757 |
Patients can reach Sparks Pharmacy Inc at
1001 E Cambridge St, Bolivar, Missouri or can
call on customer care at 417-326-7455.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.