Kylie Fritze Harris

Primary specialty

Compounded Sterile Preparations PharmacistTaxonomy code 1835C0207X

License

S026106 Issued in AZ

Practice address

21585 N 77TH Ave # 1500
Peoria, AZ 85382-2138

Phone

(623) 362-9322

NPI assigned

Dec 12, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Potters House Apothecary Inc

  • Community/Retail Pharmacy
  • Peoria, AZ
  • NPI 1922249127
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1487422127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 W GROVERS AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850536625",
            "telephone_number": "198-960-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21585 N 77TH AVE # 1500",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822138",
            "telephone_number": "623-362-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KYLIE",
        "middle_name": "FRITZE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0207X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": "AZ",
            "license": "S026106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Harpt
• Harraway Corporation
• Christina Harris
• Gerald Barnes Harris II, DO
• Jaclyn Harris, D.O.
• Alayiah Harrison
• Trinity Carlene Harshbarger
• Kaitlin M Hart, PA-C
• Michael Andrew Hart, FNP-C
• Amy Harting

• Pharmacist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.