Active NPI
Lynda Sparks, R.PH.
- Pharmacist
- New Buffalo, MI
National Provider Identifier
1316220106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302410685
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302410685 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Pharmacy Inc | Past | Accepting new patients | |
| Hometown Pharmacy Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Hometown Pharmacy Inc | Past | 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.
-
- Community/Retail Pharmacy
- New Buffalo, MI
- NPI 1275610263
-
- Community/Retail Pharmacy
- Bangor, MI
- NPI 1639133150
-
- Community/Retail Pharmacy
- Suttons Bay, MI
- NPI 1811904345
-
- Community/Retail Pharmacy
- Bridgman, MI
- NPI 1013026582
-
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
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.