Carl Chris Harris Sr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

13029 Issued in GA

Practice address

102 S 1St St
Jesup, GA 31545-1171

Phone

(912) 588-1035

Fax

(912) 588-7016

NPI assigned

May 22, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Carl Chris Harris Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Jesup, GA
  • NPI 1982858718
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274486400000",
    "number": "1104145796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451171",
            "telephone_number": "912-588-1035",
            "fax_number": "912-588-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451171",
            "telephone_number": "912-588-1035",
            "fax_number": "912-588-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARL",
        "middle_name": "CHRIS",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-22",
        "last_updated": "2010-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "13029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENSE NUMBER",
            "identifier": "13029",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARL",
            "last_name": "HARRIS",
            "middle_name": "CHRIS",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cephas S Gumbs, PT
• Tonya Hamilton
• Eric Bradley Hammett, CRNA
• Jackson Alexander Harbin, PA-C
• Harborview Jesup, LLC
• Jeffrey Lee Harris, MD
• Jishaun Emmanuel Harris, PHARM D., RPH
• Danna Metts Harvey, PHARMD
• Maggie Poppell Hayes, FNP-C
• Headley Family Medicine, LLC

• Pharmacist in Jesup, GA
• Providers in Jesup, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.