Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sparks Pharmacy Inc

Organization Pharmacy · NPI 1013021328

Sparks Pharmacy Inc is a Pharmacy in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 S Springfield Ave
Bolivar, MO 65613-9654
Phone: (417) 777-7455
Fax: (417) 777-7455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence 005482 (MO)
Pharmacy Taxonomy 333600000X

Record details

NPI number1013021328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Sparks — President · (417) 777-7455
Other names Bolivar Drug Compounding And Wellness
NPI enumeratedAugust 17, 2006
Last updated in NPPESOctober 26, 2013
Mailing addressPo Box 33, Bolivar, MO 65613-0033

Other providers in Bolivar