Wayne D. Sparrow
Individual provider Active NPI Pharmacist · Eminence, KY
NPI 1376148197 · NPPES record last updated Dec 1, 2020
Key facts
- NPI
- 1376148197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 008128 (KY)
- Practice address
- 4894 N Main St
Eminence, KY 40019-1018 - Phone
- (502) 845-5027
- Fax
- (502) 845-5077
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008128 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 008128 | KY | Yes |
Addresses
Primary practice location
4894 N Main St
Eminence, KY 40019-1018
Mailing address
4894 N Main St
Eminence, KY 40019-1018
Phone (502) 845-5027
Other providers in Eminence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.