Provider Demographics
NPI:1265060438
Name:SPEARS, TODD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:
Last Name:SPEARS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 COZY VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-6929
Mailing Address - Country:US
Mailing Address - Phone:702-460-5123
Mailing Address - Fax:
Practice Address - Street 1:60 N VALLE VERDE DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1756
Practice Address - Country:US
Practice Address - Phone:702-898-0036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist