Active NPI
Andrea Whitney Harris, PHARM.D.
- Pharmacist
- Cordova, TN
National Provider Identifier
1073869483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-11894
- Practice address
- 1675 N Germantown Pkwy
Cordova, TN 38016-5962 - Phone
- (901) 624-9637
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000036284 | TN | |
| Pharmacist | 183500000X | E-11894 | MS | Primary |
Addresses
Primary practice location
1675 N Germantown Pkwy
Cordova, TN 38016-5962
Mailing address
4341 Tantallon LN
#107
Memphis, TN 38125-2887
Phone (662) 316-1808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-11894 | MS | MD | Pharmacist |
| 0000036284 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1073869483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 TANTALLON LN",
"address_2": "#107",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381252887",
"telephone_number": "662-316-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 N GERMANTOWN PKWY",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380165962",
"telephone_number": "901-624-9637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ANDREA",
"middle_name": "WHITNEY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000036284",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-11894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.