JAN HARRIS (NPI# 1083091102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083091102 |
| Entity Type | Individual |
| Full Name | JAN HARRIS |
| Practice Address |
19390 Cortez Blvd Brooksville FL 34601-3041 |
| Practice Telephone | 3527962928 |
| Mailing Telephone | 3527962928 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5302030878 | MI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS42415 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043418551 | Jan Harris | Social Worker | 660 Monterey Rd, South Pasadena, CA 91030-3618 | 2007-07-05 |
| 1861604845 | Jan Harris | Occupational Therapist | Rr 2 Box A, Milford, NE 68405 | 2007-05-04 |
| Street Address |
19390 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215025663 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2006-10-11 |
| 1982160610 | Anthony Scardino | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2019-02-19 |
| 1235610171 | Jame Quoc Tran | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2018-08-28 |
| 1316496771 | Sabair Pradhan | Pharmacist | 19390 Cortez Blvd, Pharmacy Dpt., Brooksville, FL 34601-3041 | 2016-09-27 |
| 1447634209 | Sheila Tan Malamoutsis | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2015-07-11 |
| 1093113391 | Lana Dunn | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2014-12-18 |
| 1053710079 | Vidhi Patel | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2014-08-14 |
| 1477890556 | Doreen Ann Schaub | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2013-01-10 |
| 1962749143 | John F Gillis | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275001935 | Jingwen Huang | Pharmacist | 11373 Cortez Blvd Ste 101, Brooksville, FL 34613-5411 | 2018-11-10 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1144604901 | Danielle Cheek | Pharmacist | 11375 Cortez Blvd Ste 101, Brooksville, FL 34613-5409 | 2015-07-11 |
| 1396049185 | John D Owings IIi | Pharmacist | 312 North Oliver St., Brooksville, MS 39739 | 2011-01-07 |
| 1417180712 | John C Mason | Pharmacist | 139 North Oliver St., Brooksville, MS 39739 | 2009-09-02 |
| 1134348279 | Eric J Renker | Pharmacist | 3147 Saturn Rd, Brooksville, FL 34604-7032 | 2007-04-25 |
| 1699807982 | Thomas S. Hogan Sr. | Pharmacist | 22331 Powell Rd, Brooksville, FL 34602-5705 | 2007-03-12 |
| 1316094808 | Mark Leo Hanshaw | Pharmacist | 80 Ponce De Leon Blvd, Brooksville, FL 34601-2818 | 2007-01-05 |
| 1558362798 | Jason O Baldwin | Pharmacist | 4002 Clear Spring Rd, Brooksville, FL 34604-0655 | 2005-08-10 |
| 1982205886 | Timothy S Tout | Pharmacist | 13300 Cortez Blvd, Brooksville, FL 34613-4887 | 2020-11-06 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
Please comment or provide details below to improve the information on JAN HARRIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.