Active NPI
Brian Harris
- Pharmacist
- Freehold, NJ
National Provider Identifier
1245664705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03585200
- Practice address
- 425 W Main St
Freehold, NJ 07728-2519 - Phone
- (732) 462-5841
- NPI assigned
- Sep 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 28RI03585200 | NJ | Primary |
Addresses
Primary practice location
425 W Main St
Freehold, NJ 07728-2519
Mailing address
8 Phillips Mills Dr
North Middletown, NJ 07748-5177
Phone (908) 461-5969
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 |
|---|---|---|---|
| 28RI03585200 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
-
- Pharmacy
- Freehold, NJ
- NPI 1245245232
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378080000000",
"number": "1245664705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 PHILLIPS MILLS DR",
"city": "NORTH MIDDLETOWN",
"state": "NJ",
"postal_code": "077485177",
"telephone_number": "908-461-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282519",
"telephone_number": "732-462-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-02",
"last_updated": "2013-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03585200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.