NPIMap

Individual provider Active NPI

Myra Agnes Harrison, R.PH, C.I.P.

  • Pharmacist
  • Riverside, CA
National Provider Identifier
1275845018
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041515 Issued in CA
Practice address
8015 Limonete
Rite Aid
Riverside, CA 92509
Phone
(951) 361-0263
Fax
(951) 361-9413
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
No

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.

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
041515CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041515 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

8015 Limonete
Rite Aid
Riverside, CA 92509

Mailing address

8015 Limonete
Riverside, CA 92509
Phone (951) 361-0263

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2010.

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1275845018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 LIMONETE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92509",
            "telephone_number": "951-361-0263",
            "fax_number": "951-361-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 LIMONETE",
            "address_2": "RITE AID",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92509",
            "telephone_number": "951-361-0263",
            "fax_number": "951-361-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MYRA",
        "middle_name": "AGNES",
        "name_prefix": "Ms.",
        "credential": "R.PH, C.I.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "041515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.