Jennifer Lynn Harris, PHARM.D.
Individual provider Active NPI Pharmacist · Portland, TN
NPI 1477839876 · NPPES record last updated Oct 29, 2011
Key facts
- NPI
- 1477839876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 34370 (TN)
- Practice address
- 104 Highway 52 W
Portland, TN 37148-1406 - Phone
- (615) 325-4058
- NPI assigned
- Oct 29, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34370 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34370 | TN | Yes |
Addresses
Primary practice location
104 Highway 52 W
Portland, TN 37148-1406
Mailing address
1199 Wembley CT
Gallatin, TN 37066-8587
Phone (615) 451-9001
Other providers in Portland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.