Active NPI
Anthony Harris, PHARMD., RPH
- Pharmacist
- Madison, WI
National Provider Identifier
1417765835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75178
- Practice address
- 361 Integrity Dr
Madison, WI 53717-1416 - Phone
- (608) 820-4197
- NPI assigned
- Dec 19, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75178 | TX | Primary |
Addresses
Primary practice location
361 Integrity Dr
Madison, WI 53717-1416
Mailing address
2400 Old South Dr Apt 3923
Richmond, TX 77406-6666
Phone (832) 520-8784
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 |
|---|---|---|---|
| 75178 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1417765835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 OLD SOUTH DR APT 3923",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774066666",
"telephone_number": "832-520-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 INTEGRITY DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537171416",
"telephone_number": "608-820-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ANTHONY",
"credential": "PHARMD., RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "75178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.