Mitchell Troy Harris Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH031581 Issued in GA

Practice address

3200 N Ashley St
Valdosta, GA 31602-5912

Phone

(229) 242-3007

NPI assigned

Jan 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1356980874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WHARTON CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323124078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025912",
            "telephone_number": "229-242-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MITCHELL",
        "middle_name": "TROY",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU7893",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031581",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PDX",
            "affiliation": "N",
            "address_1": "3200 N Ashley St",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316025912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia Jordan Harris, O.D.
• Jakeria Harris
• Jenny Harris
• Jordan Harris
• Logan Olivia Harris
• Angelina Michelle Harrison
• Jana Harrod, APRN
• Kaysie Leigh Hart, M.ED.CCC-SLP
• Susannah Renee Harvell, PA-C
• Jacinta Y. Harvey, LAPC

• Pharmacist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; 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.