Kaitlin Sparks, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-16414 Issued in KS

Practice address

3150 S Seneca St
Wichita, KS 67217-3235

Phone

(316) 522-7489

NPI assigned

Feb 22, 2015

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Wichita, KS
  • NPI 1962417188
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424563200000",
    "number": "1073905485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIDGEWOOD DR",
            "address_2": "AP. 214",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084160",
            "telephone_number": "785-280-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173235",
            "telephone_number": "316-522-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "KAITLIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-22",
        "last_updated": "2015-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-16414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Kelley Sowards, PH.D.
• SP Wichita Homecare LLC
• Dee A Spade, DO
• Richard W Spann, MD
• Ann Marie Sparacino, OD
• Keith Sparks, DC
• Leslie Sparks
• Rachel Sparks, DC
• Sarah Anne Spear, APRN
• Special Needs Billing LLC

• Pharmacist in Wichita, KS
• Providers in Wichita, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; 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.