Individual provider Active NPI

Jason Philip Sparks, MED, CPHT, PHTR

  • Pharmacy Technician
  • Bee Cave, TX
National Provider Identifier
1407096027
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
100125 Issued in TX
Practice address
12400 W Hwy 71
Bee Cave, TX 78738-6517
Phone
(512) 263-0561
Fax
(512) 263-7179
NPI assigned
Feb 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 100125 TX Primary

Addresses

Primary practice location

12400 W Hwy 71
Bee Cave, TX 78738-6517

Mailing address

12409 Ace in the Hole LN
Del Valle, TX 78617-2050
Phone (512) 983-1740

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
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1407096027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 ACE IN THE HOLE LN",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786172050",
            "telephone_number": "512-983-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 W HWY 71",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386517",
            "telephone_number": "512-263-0561",
            "fax_number": "512-263-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "JASON",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "MED, CPHT, PHTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-22",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "100125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; 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.