Active NPI
Michael Bruce Harvey, PHARM.D.
- Pharmacist
- Waxhaw, NC
National Provider Identifier
1124311519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 09161
- Practice address
- 8157 Kensington Dr
Waxhaw, NC 28173-0103 - Phone
- (704) 243-2034
- Fax
- (704) 243-7853
- NPI assigned
- May 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 09161 | NC | Primary |
Addresses
Primary practice location
8157 Kensington Dr
Waxhaw, NC 28173-0103
Mailing address
8157 Kensington Dr
Waxhaw, NC 28173-0103
Phone (704) 243-2034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0905612 | Medicaid | NC |
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 |
|---|---|---|---|
| 09161 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients | |
| Harris Teeter, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Apex, NC
- NPI 1225856859
-
- Community/Retail Pharmacy
- Waxhaw, NC
- NPI 1710025366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1124311519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8157 KENSINGTON DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730103",
"telephone_number": "704-243-2034",
"fax_number": "704-243-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8157 KENSINGTON DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730103",
"telephone_number": "704-243-2034",
"fax_number": "704-243-7853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "MICHAEL",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "09161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0905612",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.