Active NPI
Kendall Sparkman, PHARM.D, RPH
- Pharmacist
- Chesterfield, MO
National Provider Identifier
1790175313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019025949
- Practice address
- 1060 Woods Mill Rd
Chesterfield, MO 63017-1150 - Phone
- (636) 227-2770
- NPI assigned
- Feb 3, 2015
- 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 | 2019025949 | MO | Primary |
Addresses
Primary practice location
1060 Woods Mill Rd
Chesterfield, MO 63017-1150
Mailing address
1060 Woods Mill Rd
Chesterfield, MO 63017-1150
Phone (636) 227-2770
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019025949 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1790175313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 WOODS MILL RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630171150",
"telephone_number": "636-227-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 WOODS MILL RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630171150",
"telephone_number": "636-227-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKMAN",
"first_name": "KENDALL",
"credential": "PHARM.D, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2021-11-12",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019025949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.