Jack Kirschenfeld Harris

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS19436 Issued in FL

Practice address

100 International Pkwy
Lake Mary, FL 32746-7302

Phone

(407) 333-3102

NPI assigned

May 31, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jackson Kirschenfeld Harris Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1134795222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INTERNATIONAL PKWY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467302",
            "telephone_number": "407-333-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INTERNATIONAL PKWY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467302",
            "telephone_number": "407-333-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JACK",
        "middle_name": "KIRSCHENFELD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS19436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Escript",
            "affiliation": "N",
            "address_1": "100 International Pkwy",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327467302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACKSON",
            "last_name": "HARRIS",
            "middle_name": "KIRSCHENFELD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Harper Health LLC (Primera Specialty Infusion)
• Taurean Letavia Harper
• Jamie Beth Harrell, PHARMD
• Nancy Ann Harrington, LPTA
• Harris Chiropractic Clinic Inc
• Janet Ruth Harris, PT
• Kayla Harris
• Kristin Harris
• Mark William Harris, D.C.
• Tarryn Harris

• Pharmacist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.