Organization Active NPI

Sparta Pharmacy Services

  • Pharmacist
  • Sparta, NJ
National Provider Identifier
1578649281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
SPARTA PHARMACY SERVICES
Practice address
1 Theatre Ctr
Sparta, NJ 07871-2405
Phone
(973) 729-5000
Fax
(973) 729-9252
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Desmond M Fitzgerald, RPH
Title
Owner
Phone
(973) 729-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X NJ Primary

Addresses

Primary practice location

1 Theatre Ctr
Sparta, NJ 07871-2405

Mailing address

1 Theatre Ctr
Sparta, NJ 07871-2405
Phone (973) 729-5000

Other identifiers 1

IdentifierTypeStateIssuer
4294700OtherNJPHARMACY #

National Provider Directory

National Provider Directory

Locations

1 Theatre Ctr
Sparta, NJ 07871
Phone (973) 729-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578649281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THEATRE CTR",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712405",
            "telephone_number": "973-729-5000",
            "fax_number": "973-729-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THEATRE CTR",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712405",
            "telephone_number": "973-729-5000",
            "fax_number": "973-729-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-729-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY #",
            "identifier": "4294700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.