Active NPI
Chase Randall Sparks, PHARMD
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1790407385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71281
- Practice address
- 5300 Overton Ridge Blvd
Fort Worth, TX 76132-3301 - Phone
- (817) 210-0002
- NPI assigned
- Sep 12, 2022
- Sex
- Male
- 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 | 71281 | TX | Primary |
Addresses
Primary practice location
5300 Overton Ridge Blvd
Fort Worth, TX 76132-3301
Mailing address
5300 Overton Ridge Blvd
Fort Worth, TX 76132-3301
Phone (817) 210-0002
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71281 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1790407385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 OVERTON RIDGE BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323301",
"telephone_number": "817-210-0002",
"fax_number": "817-210-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 OVERTON RIDGE BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323301",
"telephone_number": "817-210-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "CHASE",
"middle_name": "RANDALL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.