Kaylyn Sparks

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH033226 Issued in GA

Practice address

1202 US Highway 41 N
Tifton, GA 31794-3202

Phone

(229) 586-8193

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Georgia Drug Company LLC

  • Community/Retail Pharmacy
  • Tifton, GA
  • NPI 1194345777
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1063140929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SALEM CHURCH RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317936748",
            "telephone_number": "229-402-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 US HIGHWAY 41 N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943202",
            "telephone_number": "229-586-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "KAYLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH033226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southest Lung & Critical Care Specialists
• Southwell Ambulatory Inc
• Southwell Pharmacy
• Southwest Georgia Rehab, Inc
• Southwestern State Hospital
• William Troy Spicer II, NP
• Charles Derron Spikes, M.D.
• Daniel Jason Spratlin, LMSW, CADCII
• Megan A Stalvey
• Robin Chavon Stanley, NP-C

• Pharmacist in Tifton, GA
• Providers in Tifton, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.