Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Sparks Pharmacy Inc

Community/Retail Pharmacy in Bolivar, MO · enumerated 2006 · authorized official Ryan Summers, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801809785

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Registry record

Entity type Organization (Type 2)

Legal business name Sparks Pharmacy Inc

Other name <Unavail>

Practice address 1001 E Cambridge St, Bolivar, MO, 65613

Phone (417) 326-7455

Fax (417) 326-7757

Enumeration date Aug 14, 2006

Last updated in NPPES Jan 21, 2016

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 005482 (MO) Primary

Authorized official

Name Ryan Summers

Title President

Phone (417) 326-7455

Other identifiers

Identifier	Type	State	Issuer
2051548	Other	-	PK
602599607	Medicaid	MO	-
622599603	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-01-21. Verify at npiregistry.cms.hhs.gov.

Where is Sparks Pharmacy Inc located?

The practice location on file with NPPES is in Bolivar, MO.

Providers at this address

Browse all →

Erica Humphreys Pharmacist · Bolivar, MO NPI 1982717096

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-21.