Bobby Clifford Harris

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS65975 Issued in FL

Practice address

4567 River City Dr
Jacksonville, FL 32246-7411

Phone

(904) 596-0021

NPI assigned

Jul 26, 2023

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1508547258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 MIDTOWN PKWY UNIT 332",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467472",
            "telephone_number": "352-942-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 RIVER CITY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467411",
            "telephone_number": "904-596-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BOBBY",
        "middle_name": "CLIFFORD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS65975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Solomon Harris, PHARMD.
• Ashley N Harris, ARNP
• Austin Christopher Harris
• Ayesha M Harris, COTA/L, CAPS
• Bessie Lashell Harris
• Brandon Harris, PHARMD
• Brigitte Harris
• Christina Bath Harris, L.M.H.C
• Ciel Harris, M.D.
• Courtney Harris

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.