Active NPI
Kristen Denise Harris, PHARM, D,
- Pharmacist
- Sunrise, FL
National Provider Identifier
1366882128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 50210
- Practice address
- 7730 W Commercial Blvd
T-1778
Sunrise, FL 33351-4301 - Phone
- (954) 572-6724
- Fax
- (954) 578-4539
- NPI assigned
- Jun 26, 2013
- Last updated
- Jun 26, 2013
- Sex
- Female
- 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 | PS 50210 | FL | Primary |
Addresses
Primary practice location
7730 W Commercial Blvd
T-1778
Sunrise, FL 33351-4301
Mailing address
7730 W Commercial Blvd
T-1778
Sunrise, FL 33351-4301
Phone (954) 572-6724
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 50210 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Health Pharmacy LLC | Current | Accepting new patients | |
| Optimal Health Pharmacy of Sistrunk LLC | Current | Accepting new patients | |
| Optimal Health Medical Center Inc | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1366882128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7730 W COMMERCIAL BLVD",
"address_2": "T-1778",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333514301",
"telephone_number": "954-572-6724",
"fax_number": "954-578-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7730 W COMMERCIAL BLVD",
"address_2": "T-1778",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333514301",
"telephone_number": "954-572-6724",
"fax_number": "954-578-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KRISTEN",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "PHARM, D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 50210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.