Active NPI
Jennifer Susan Harrison, PHARMACIST
- Pharmacist
- Hines, IL
National Provider Identifier
1164692208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 5TH and Roosevelt
Department of Veterans Affairs Cmop , Building 37
Hines, IL 60141-5221 - Phone
- (708) 786-7823
- NPI assigned
- Mar 5, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Primary |
Addresses
Primary practice location
5TH and Roosevelt
Department of Veterans Affairs Cmop , Building 37
Hines, IL 60141-5221
Mailing address
1011 Lowden Rd
Streator, IL 61364-1417
Phone (815) 673-1993
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-285995 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1164692208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 LOWDEN RD",
"city": "STREATOR",
"state": "IL",
"postal_code": "613641417",
"telephone_number": "815-673-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5TH AND ROOSEVELT",
"address_2": "DEPARTMENT OF VETERANS AFFAIRS CMOP , BUILDING 37",
"city": "HINES",
"state": "IL",
"postal_code": "601415221",
"telephone_number": "708-786-7823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JENNIFER",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.