Individual provider Active NPI

Lynda Sparks, R.PH.

  • Pharmacist
  • New Buffalo, MI
National Provider Identifier
1316220106
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302410685 Issued in MI
Practice address
1 N Whittaker St
New Buffalo, MI 49117-1135
Phone
(269) 469-3636
Fax
(269) 469-3279
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302410685 MI Primary

Addresses

Primary practice location

1 N Whittaker St
New Buffalo, MI 49117-1135

Mailing address

1 N Whittaker St
New Buffalo, MI 49117-1135
Phone (269) 469-3636

Other practice location 1

3 W Monroe St
Bangor, MI 49013-1351
Phone (269) 427-7706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302410685MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Pharmacy Inc PastSince Sep 23, 2021 Accepting new patients
Hometown Pharmacy Inc Past Accepting new patients
Rite Aid of Michigan Inc Past Accepting new patients
Hometown Pharmacy Inc PastSince Sep 23, 2021 Accepting new patients
Rite Aid of Michigan Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1316220106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WHITTAKER ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171135",
            "telephone_number": "269-469-3636",
            "fax_number": "269-469-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WHITTAKER ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171135",
            "telephone_number": "269-469-3636",
            "fax_number": "269-469-3279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 W Monroe St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "MI",
            "postal_code": "490131351",
            "country_code": "US",
            "telephone_number": "269-427-7706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "LYNDA",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302410685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Buffalo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.