Individual provider Active NPI

Sandra Sparta

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Bridgewater, NJ
National Provider Identifier
1720509888
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
28RI01832100 Issued in NJ
Practice address
66 Claire Dr
Bridgewater, NJ 08807-1854
Phone
(190) 870-7471
Fax
(908) 707-4719
NPI assigned
Jun 29, 2017
Last updated
Jun 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 28RI01832100 NJ Primary

Addresses

Primary practice location

66 Claire Dr
Bridgewater, NJ 08807-1854

Mailing address

66 Claire Dr
Bridgewater, NJ 08807-1854
Phone (908) 707-4719

Other names 1

  • Sandra Tomkowich Former name

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

State licenses

LicenseStateTypeSpecialty
28RI01832100NJMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1720509888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CLAIRE DR",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071854",
            "telephone_number": "19087074719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CLAIRE DR",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071854",
            "telephone_number": "190-870-7471",
            "fax_number": "908-707-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARTA",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NJ",
            "license": "28RI01832100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "TOMKOWICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.