Active NPI
Michael Alan Harris, R.PH., MS, MBA
- Pharmacist
- Monticello, IL
National Provider Identifier
1912178559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-028329
- Practice address
- 320 N Chaucer Blvd
Monticello, IL 61856-2321 - Phone
- (217) 762-7409
- NPI assigned
- Mar 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-028329 | IL | Primary |
| Pharmacist | 183500000X | 26012574A | IN |
Addresses
Primary practice location
320 N Chaucer Blvd
Monticello, IL 61856-2321
Mailing address
320 N Chaucer Blvd
Monticello, IL 61856-2321
Phone (217) 935-1357
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
- Master of Business Administration, Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-028329 | IL | MD | Pharmacist |
| 26012574A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1912178559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N CHAUCER BLVD",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618562321",
"telephone_number": "217-935-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N CHAUCER BLVD",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618562321",
"telephone_number": "217-762-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "R.PH., MS, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-21",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-028329",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26012574A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.