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BOLIVAR DRUG
NPI 1801809785
Pharmacy - Community/Retail Pharmacy in Bolivar, MO

Active since August 14, 2006
1001 E CAMBRIDGE ST, BOLIVAR, MO 65613(417) 326-7455(417) 326-7757 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bolivar Drug NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLIVAR DRUG (NPI 1801809785) is a healthcare organization registered as a community/retail pharmacy in Bolivar, Missouri and active in the NPI registry since August 2006. The organization lists Ryan Summers, President, as its authorized official.

NPPES Registry Identity

NPI1801809785
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSPARKS PHARMACY INC
Location Address1001 E CAMBRIDGE STBolivar, MO 65613-3502
Mailing Address1001 E Cambridge StBolivar, MO 65613-3502 · (417) 326-7455 · Fax (417) 326-7757
Phone(417) 326-7455
Fax(417) 326-7757
Organization SubpartNo
Authorized OfficialRyan SummersPresident · (417) 326-7455
Enumeration DateAugust 14, 2006
Last NPPES UpdateJanuary 21, 2016
✔ NPI 1801809785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 005482
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
1001 E CAMBRIDGE ST, Bolivar, MO 65613
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Other Names 1

Doing Business AsBolivar Drug

Other Identifiers 5

Medicaid602599607MO
Medicare PINMA1376
Other2051548Pk
Medicaid622599603MO
Medicare NSC4790300001

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERICA HUMPHREYS PHARM.D.
Pharmacist
1001 E CAMBRIDGE ST
BOLIVAR, MO 65613
Polk County (417) 777-7455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sparks Pharmacy Inc's NPI number?

The NPI number for Sparks Pharmacy Inc is 1801809785. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is doing business as Bolivar Drug.

Where is Sparks Pharmacy Inc located?

Sparks Pharmacy Inc is located at 1001 E Cambridge St, Bolivar, MO 65613. The listed phone number is (417) 326-7455.

What is Sparks Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Sparks Pharmacy Inc was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.