Active NPI
John Joegbor Harris
- Pharmacist
- Fredericksburg, VA
National Provider Identifier
1437867629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202219205
- Practice address
- 591 Emancipation Hwy
Fredericksburg, VA 22401-4420 - Phone
- (540) 373-4607
- NPI assigned
- Nov 7, 2022
- Last updated
- Nov 7, 2022
- Sex
- Male
- 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 | 0202219205 | VA | Primary |
Addresses
Primary practice location
591 Emancipation Hwy
Fredericksburg, VA 22401-4420
Mailing address
500 Abberly Dr
Stafford, VA 22554-7345
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202219205 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy LLC | Current | Accepting new patients | |
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Locations
591 Emancipation Hwy
Fredericksburg, VA 22401
Phone (540) 373-4607
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1437867629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ABBERLY DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 EMANCIPATION HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014420",
"telephone_number": "540-373-4607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JOHN",
"middle_name": "JOEGBOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202219205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.