Organization Active NPI

Spar USA LLC

  • Long Term Care Pharmacy
  • Winter Park, FL
National Provider Identifier
1982028890
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH27481 Issued in FL
Legal business name
SPAR USA LLC
Practice address
660 W Fairbanks Ave
Winter Park, FL 32789-4779
Phone
(407) 622-2510
Fax
(407) 622-2511
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Satvik Thakkar
Title
President
Phone
(407) 622-2510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH27481 FL Primary

Addresses

Primary practice location

660 W Fairbanks Ave
Winter Park, FL 32789-4779

Mailing address

545 N Virginia Ave
Winter Park, FL 32789-3169
Phone (407) 622-2510

Other names 1

  • SIGNATURE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

545 N Virginia Ave
Winter Park, FL 32789

660 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 622-2510

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1982028890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N VIRGINIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893169",
            "telephone_number": "407-622-2510",
            "fax_number": "407-622-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894779",
            "telephone_number": "407-622-2510",
            "fax_number": "407-622-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAR USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "SATVIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-622-2510"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH27481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIGNATURE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.