Kevin Joseph Sponsel, PHARMD, BCPS

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

26025528A Issued in IN

Practice address

8111 S Emerson Ave
Indianapolis, IN 46237-8601

Phone

(317) 528-8892

NPI assigned

May 13, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1861870552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 STEAMBOAT DR APT 2312",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376522",
            "telephone_number": "402-596-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378601",
            "telephone_number": "317-528-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONSEL",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NE",
            "license": "14244",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26025528A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "14244",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "26025528A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACEUTICAL SPECIALTIES CERTIFICATION NUMBER",
            "identifier": "3141393F",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth J Spolnik, D.D.S.,M.S.D.
• Margaret M Spolnik, MD
• Mary Margaret Spolyar, M.D.
• Michele M Spolyar, MD
• Thomas Michael Spolyar, M.D.
• Sara Spoolstra, NP
• Stephanie Lynn Spoolstra, L.C.S.W., M.S.W.
• Katherine Grace Spoonamore, M.S.
• Jennifer Marie Spors, NP
• Michael Spors

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.