Kenya Harris
Individual provider Active NPI Pharmacist · Smithfield, VA
NPI 1356894885 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1356894885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202213418 (VA)
- Practice address
- 1200 Benns Church Blvd
Smithfield, VA 23430-6063 - Phone
- (757) 357-3254
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202213418 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202213418 | VA | Yes |
Addresses
Primary practice location
1200 Benns Church Blvd
Smithfield, VA 23430-6063
Mailing address
1200 Benns Church Blvd
Smithfield, VA 23430-6063
Phone (901) 230-2955
Other providers in Smithfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.