Jamie Harrison, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.297631 Issued in IL

Practice address

1305 N Carolyn Dr
Minonk, IL 61760-9326

Phone

(309) 432-3451

NPI assigned

May 30, 2016

Last updated

Aug 8, 2022By the provider in NPPES

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

Other names 1

• Jamie Harrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Green Tree Pharmacy, Inc.

  dba Green Tree Pharmacy

  • Pharmacy
  • Minonk, IL
  • NPI 1245221068
  NPD

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1518315696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649695",
            "telephone_number": "815-842-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N CAROLYN DR",
            "city": "MINONK",
            "state": "IL",
            "postal_code": "617609326",
            "telephone_number": "309-432-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JAMIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2022-08-08",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.297631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "HARRISON",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Renee Gensler
• Charles T. George, PHARMD
• Ann Marie Graham
• Jeremy Gray, PHARMD.
• Green Tree Pharmacy, Inc. (Green Tree Pharmacy)
• Neil Paul Heineke, PHARM D.
• Heritage Manor - Minonk, LLC (Heritage Health)
• Heritage Manor Minonk, LLC (Heritage Health - Minonk)
• Mayla M Jenkins, CPHT
• Joseph Lutterbie, PHARMD

• Pharmacist in Minonk, IL
• Providers in Minonk, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.