Active NPI
Reginal D Harris, PHARMD, RPH, CPH
- Pharmacist
- Live Oak, TX
National Provider Identifier
1386829877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38076
- Practice address
- 12702 Toepperwein Rd
Suite 207
Live Oak, TX 78233-3278 - Phone
- (210) 896-1666
- NPI assigned
- Jan 3, 2008
- Last updated
- Mar 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38076 | TX | Primary |
| Pharmacist | 183500000X | PS 32996 | FL | |
| Pharmacotherapy Pharmacist | 1835P1200X | PU 5737 | FL | |
| Geriatric Pharmacist | 1835G0303X | 38076 | TX | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 38076 | TX | |
| Pharmacotherapy Pharmacist | 1835P1200X | 38076 | TX |
Addresses
Primary practice location
12702 Toepperwein Rd
Suite 207
Live Oak, TX 78233-3278
Mailing address
PO Box 382
Infosource Communications, LLC
Converse, TX 78109-0382
Phone (210) 896-1666
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38076 | TX | MD | Dentist Anesthesiologist |
| PS 32996 | FL | MD | Pharmacist |
| PU 5737 | FL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1386829877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382",
"address_2": "INFOSOURCE COMMUNICATIONS, LLC",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781090382",
"telephone_number": "210-896-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12702 TOEPPERWEIN RD",
"address_2": "SUITE 207",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333278",
"telephone_number": "210-896-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "REGINAL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH, CPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38076",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 32996",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PU 5737",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "TX",
"license": "38076",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "38076",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "38076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.