Sparta Pharmacy Llc.
Community/Retail Pharmacy
201 S Water St, Sparta
Wisconsin, 54656-1724
608-269-2949 608-269-3330
Sparta Pharmacy Llc. is an authorized DME supplier for medicare equipments and products.
Sparta Pharmacy Llc. is a Community/Retail Pharmacy in Sparta, Wisconsin. It is located at 201 S Water St, Sparta and it's customer support contact number is 608-269-2949. The authorized person of Sparta Pharmacy Llc. is Tom Brieske who is Manager of the pharmacy and his contact number is 608-386-9039. Active license number of Sparta Pharmacy Llc. is 8783042 for Community/Retail Pharmacy in Wisconsin. Sparta Pharmacy Llc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sparta Pharmacy Llc. 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:
Sparta Pharmacy Llc. 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: | Sparta Pharmacy Llc. |
| Type: | Community/Retail Pharmacy |
| Location: | 201 S Water St, Sparta, Wisconsin, 54656-1724 |
| Phone: | 608-269-2949 |
| Fax: | 608-269-3330 |
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: | Tom Brieske |
| Position: | Manager |
| Contact Number: | 608-386-9039 |
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: | 1528194933 |
| NPI Enumeration Date: | 27 Feb, 2007 |
| NPI Last Update On: | 02 Dec, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sparta Pharmacy Llc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 8783042 | Wisconsin | Primary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 2111020 | Other | | Pk |
| 33296600 | Medicaid | Wisconsin | |
Medicare Enrollment:
Sparta Pharmacy Llc. 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 |
| 1759585417 | O20100930018152 | Sparta Pharmacy Llc | DME SUPPLIER - PHARMACY |
| 1759585417 | O20130411000276 | Sparta Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Sparta Pharmacy Llc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Surgical Dressings | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 185, West Salem, Wisconsin |
| Zip: | 54669-0185 |
| Phone Number: | 608-269-2949 |
| Fax Number: | 608-269-3330 |
Patients can reach Sparta Pharmacy Llc. at
201 S Water St, Sparta, Wisconsin or can
call on customer care at 608-269-2949.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.