Active NPI
Jeff Sparks
- Pharmacist
- Bolivar, MO
National Provider Identifier
1932175965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 005482
- Practice address
- 2000B S Springfield Ave
Bolivar, MO 65613-9654 - Phone
- (417) 326-7455
- Fax
- (417) 326-7757
- NPI assigned
- Feb 28, 2006
- Last updated
- Jul 13, 2026
- 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 | 005482 | MO | Primary |
Addresses
Primary practice location
2000B S Springfield Ave
Bolivar, MO 65613-9654
Mailing address
PO Box 33
Bolivar, MO 65613-0033
Phone (417) 326-7455
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005482 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparks Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1932175965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656130033",
"telephone_number": "417-326-7455",
"fax_number": "417-326-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000B S SPRINGFIELD AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656139654",
"telephone_number": "417-326-7455",
"fax_number": "417-326-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "005482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivar, MO
- Southern Light Community Counseling
- Southern Light Residential
- Southwest Ozark Optometric Physicians Inc
- Sparks Pharmacy Inc (Bolivar Drug Compounding and Wellness)
- Sparks Pharmacy Inc (Bolivar Drug)
- John Richard Spooner, PSY.D.
- Cassie Stephans, PT
- Stephens Pharmacy Inc (Stephens Pharmacy)
- Stephens Pharmacy Inc (Stephens Healthcare Services)
- Steven Bartholomew OD LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.