Active NPI
Spar USA LLC
- Long Term Care Pharmacy
- Winter Park, FL
National Provider Identifier
1982028890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PH27481
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.