Individual provider Active NPI

Jennifer Lea Harville, PHARM D

  • Pharmacist
  • Rio Rancho, NM
National Provider Identifier
1821305053
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0006397 Issued in NM
Practice address
3301 Southern Blvd NW
Rio Rancho, NM 87124
Phone
(505) 891-0895
Fax
(505) 892-3238
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0006397 NM Primary
Pharmacist 183500000X 051290143 IL

Addresses

Primary practice location

3301 Southern Blvd NW
Rio Rancho, NM 87124

Mailing address

4122 Silvery Minnow PL NW
Albuquerque, NM 87120-4743
Phone (505) 831-0545

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

State licenses

LicenseStateTypeSpecialty
051290143ILMDPharmacist
RP0006397NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1821305053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 SILVERY MINNOW PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204743",
            "telephone_number": "505-831-0545",
            "fax_number": "505-892-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SOUTHERN BLVD NW",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "505-891-0895",
            "fax_number": "505-892-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVILLE",
        "first_name": "JENNIFER",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP0006397",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051290143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.