KEVIN JOSEPH SPONSEL (NPI# 1861870552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861870552 |
| Entity Type | Individual |
| Full Name | KEVIN JOSEPH SPONSEL |
| Credential | PHARMD, BCPS |
| Practice Address |
8111 S Emerson Ave Indianapolis IN 46237-8601 |
| Mailing Address |
11712 Steamboat Dr Apt 2312 Fishers IN 46037-6522 |
| Practice Telephone | 3175288892 |
| Mailing Telephone | 4025965754 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26025528A | IN | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14244 | NE | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | PHARMACIST LICENSE NUMBER | 14244 | 01 |
| DC | BOARD OF PHARMACEUTICAL SPECIALTIES CERTIFICATION NUMBER | 3141393F | 01 |
| IN | PHARMACIST LICENSE NUMBER | 26025528A | 01 |
| Street Address |
8111 S EMERSON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142827 | Thomas C Dugan | Radiology | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2005-05-27 |
| 1548868995 | Rebecca J Cobb | Registered Nurse | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-10-16 |
| 1447866488 | Kimberly Jeanne Crane | Dietitian, Registered | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-09-16 |
| 1518576560 | Whitney Baker | Physical Therapist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-07-27 |
| 1376152348 | Christopher Cory | Physical Therapist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-07-27 |
| 1750990883 | Gina Nicole Belet Milesi | Physical Therapist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-07-24 |
| 1710500731 | Danielle Marie Garrett | Speech-Language Pathologist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-05-26 |
| 1174145973 | Lauren Mclaughlin | Speech-Language Pathologist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-05-14 |
| 1003438045 | Julia Porter | Speech-Language Pathologist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-05-13 |
| 1124640008 | Jordyn Leigh Deppe | Occupational Therapist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816766 | Kimberlee Chilcote | Pharmacist | 8275 Allison Pointe Trl Ste 370, Indianapolis, IN 46250-4298 | 2020-06-17 |
| 1700413721 | Damar Pharmacy Services LLC | Pharmacist | 5715 Decatur Blvd, Indianapolis, IN 46241-9561 | 2020-03-27 |
| 1194150490 | Janet Redmond | Pharmacist | 6911 Hillsdale Ct, Indianapolis, IN 46250-2054 | 2013-09-05 |
| 1972878445 | Brittany Chylene Mills | Pharmacist | 9486 Oakley Dr, Indianapolis, IN 46260-1330 | 2012-03-17 |
| 1326312836 | William Xavier Malloy | Pharmacist | 7590 Torbay Cir, Indianapolis, IN 46254-9659 | 2012-03-01 |
| 1932477437 | Megan Fitzgerald Dorrell | Pharmacist | 1701 N Senate Blvd # Ag401, Indianapolis, IN 46202-1239 | 2011-12-12 |
| 1629391404 | Chauntae Reynolds | Pharmacist | 7120 Clearvista Dr Ste 1900, Indianapolis, IN 46256-1569 | 2010-03-08 |
| 1740471465 | Ashley Holland Meredith | Pharmacist | 640 Eskenazi Ave Fl 3bank3, Indianapolis, IN 46202 | 2007-08-07 |
| 1407457047 | Morgan Corbin | Pharmacist | 7979 N Shadeland Ave, Indianapolis, IN 46250-2042 | 2020-11-02 |
| 1538771498 | Morgan Payne | Pharmacist | 1365 E 86th St, Indianapolis, IN 46240-1909 | 2020-08-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.