Active NPI
Teresa L Harrison, R. PH
- Pharmacist
- Gulfport, MS
National Provider Identifier
1821167164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E6650
- Practice address
- 11312 Highway 49 Ste H
Gulfport, MS 39503-3087 - Phone
- (228) 832-0051
- Fax
- (228) 832-0168
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- 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 | E6650 | MS | Primary |
Addresses
Primary practice location
11312 Highway 49 Ste H
Gulfport, MS 39503-3087
Mailing address
5149 Beatline Rd
Long Beach, MS 39560-3858
Phone (228) 865-9537
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6650 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821167164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5149 BEATLINE RD",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395603858",
"telephone_number": "228-865-9537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11312 HIGHWAY 49 STE H",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033087",
"telephone_number": "228-832-0051",
"fax_number": "228-832-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "TERESA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "R. PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E6650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.