Active NPI
Kevin Harrison, PHARM.D, RPH
- Pharmacist
- Portland, ME
National Provider Identifier
1730433459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR12506
- Practice address
- 127 Marginal Way
Portland, ME 04101-2470 - Phone
- (207) 771-5631
- NPI assigned
- Nov 2, 2012
- Sex
- Male
- Sole proprietor
- No
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 | PR12506 | ME | Primary |
Addresses
Primary practice location
127 Marginal Way
Portland, ME 04101-2470
Mailing address
127 Marginal Way
Portland, ME 04101-2470
Phone (207) 771-5631
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
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR12506 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1730433459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 MARGINAL WAY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012470",
"telephone_number": "207-771-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 MARGINAL WAY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012470",
"telephone_number": "207-771-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "KEVIN",
"credential": "PHARM.D, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR12506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.