Sparta Apothecary Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2929 Issued in TN

Legal business name

SPARTA APOTHECARY INC

Practice address

285 W Turn Table Rd Ste B
Sparta, TN 38583-1366

Phone

(931) 836-3187

Fax

(931) 836-3398

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Tatum-Cranford, PHARM D

Title

President

Phone

(931) 836-3187

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Payless Family Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1205280807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W TURN TABLE RD STE B",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831366",
            "telephone_number": "931-836-3187",
            "fax_number": "931-836-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W TURN TABLE RD STE B",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831366",
            "telephone_number": "931-836-3187",
            "fax_number": "931-836-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "TATUM-CRANFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-836-3187",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "2929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9449894",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159595",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payless Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Payless Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Danielle Smith, PHARM. D.
• Kevin Cecil Smith, D.D.S.
• Laura Allese Snow, FNP-BC
• Kellie Sorrell
• Southeastern Emergency Care, PLLC
• Sparta Apothecary Inc
• Sparta Drug Center LLC
• Sparta Hearing Aid Center
• Sparta Medical Investors LP
• Melissa Mae Spaulding, LPC-MHSP

• Long Term Care Pharmacy in Sparta, TN
• Providers in Sparta, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.