JACKIE HARRIS (NPI# 1508287434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508287434 |
| Entity Type | Individual |
| Full Name | JACKIE HARRIS |
| Credential | PHARM.D. |
| Practice Address |
4 Medical Dr Elberton GA 30635-1830 |
| Practice Telephone | 7062132548 |
| Practice Fax Number | 7062132506 |
| Mailing Telephone | 7062132548 |
| Mailing Fax Number | 7062132506 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH020872 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390342 | Jackie Harris | Technician | 193 Southridge Rd, Davisville, WV 26142-8918 | 2020-09-10 |
| 1316213655 | Jackie L. Harris | Rehabilitation Practitioner | 2349 Renaissance Dr, Suite A, Las Vegas, NV 89119-6191 | 2012-03-30 |
| Street Address |
4 MEDICAL DR |
| City | ELBERTON |
| State | GA |
| Zip Code | 30635-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174917124 | Southland Consolidated Emergency Services, LLC | Emergency Medicine | 4 Medical Dr, Elberton, GA 30635-1897 | 2015-03-26 |
| 1326464611 | Anmed Health | Clinic/Center | 4 Medical Dr, Elberton, GA 30635-1830 | 2014-03-11 |
| 1386077881 | Elbert Memorial Hospital | Medicare Defined Swing Bed Unit | 4 Medical Dr, Elberton, GA 30635-1830 | 2013-08-20 |
| 1376830174 | Paul Chukelu | Emergency Medicine | 4 Medical Dr, Elberton, GA 30635-1830 | 2011-06-30 |
| 1336462118 | Lifetime Quality Care, LLC | Clinic/Center | 4 Medical Dr, Elberton, GA 30635-1830 | 2010-03-08 |
| 1154477461 | Nicole Accettura Hawthorne | Dietitian, Registered | 4 Medical Dr, Elberton, GA 30635-1830 | 2007-01-27 |
| 1245341999 | James H. Barton | Emergency Medicine | 4 Medical Dr, Elberton, GA 30635-1830 | 2006-08-31 |
| 1083627442 | John H. Washington | Emergency Medicine | 4 Medical Dr, Elberton, GA 30635-1830 | 2006-08-15 |
| 1053323675 | Gwendolyn Rose Harris | Dietitian, Registered | 4 Medical Dr, Elberton, GA 30635-1830 | 2006-08-12 |
| 1669488250 | Elbert Memorial Hospital | General Acute Care Hospital | 4 Medical Dr, Elberton, GA 30635-1830 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275950602 | Frank Thomas Varney | General Practice | 3557 Calhoun Falls Hwy, Elberton, GA 30635 | 2014-03-24 |
| 1922348291 | Tammy Heard Host Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Upshaw Dr, Elberton, GA 30635 | 2013-02-25 |
| 1043593031 | Jeffrey Allen Burke | Pharmacist | 18 College Ave., Walgreens #11166, Elberton, GA 30635 | 2011-09-26 |
| 1467698886 | Ingles Markets Inc | Pharmacy | 903 Elberton St, Elberton, GA 30635 | 2009-01-07 |
| 1629149141 | Elbert County School District | Local Education Agency (LEA) | 50 Laurel Drive, Elberton, GA 30635 | 2006-11-13 |
| 1588745707 | Carl Mankiewicz | Chiropractor | 14 Laurel Dr, Elberton, GA 30635 | 2006-10-17 |
| 1194991349 | Denise Vernall Clark | Emergency Medical Technician, Intermediate | 258 S Thomas Street, Elberton, GA 30635 | 2008-05-07 |
| 1215106422 | City of Angels | Non-emergency Medical Transport (VAN) | 258 S Thomas Street, Elberton, GA 30635-0000 | 2008-02-22 |
| 1982964821 | Suzanne Peers Moore | Counselor | 93 Carey St, Elberton, GA 30635-1435 | 2012-05-25 |
| 1255601597 | G Daniel Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 242 N Oliver St, Elberton, GA 30635-1444 | 2012-01-04 |
| Find all providers in zip 30635 | ||||
| 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 |
|---|---|---|---|---|
| 1770985285 | Sache Hood | Pharmacist | 215 Atlantic St, Elberton, GA 30635-1512 | 2014-09-16 |
| 1104182260 | Gerald W Wright | Pharmacist | 1726 Brewers Mill Rd, Elberton, GA 30635-3490 | 2012-04-03 |
| 1043593031 | Jeffrey Allen Burke | Pharmacist | 18 College Ave., Walgreens #11166, Elberton, GA 30635 | 2011-09-26 |
| 1518256221 | April L Scott | Pharmacist | 903 Elbert St, Elberton, GA 30635-2633 | 2011-04-04 |
| 1023181096 | Robert Patrick Ward | Pharmacist | 8 S Public Sq, Elberton, GA 30635-2448 | 2006-11-16 |
| 1740727270 | Nancy R Sheppard | Pharmacist | 903 Elbert St, Elberton, GA 30635-2633 | 2017-01-23 |
| 1851706063 | Winifred Patricia Bird | Pharmacist | 955 Elbert St, Elberton, GA 30635-2641 | 2014-06-25 |
| 1568875953 | Kristine Burden | Pharmacist | 955 Elbert St, Elberton, GA 30635-2641 | 2014-06-04 |
| 1730462847 | Benjamin Adam Butts | Pharmacist | 18 College Ave, Elberton, GA 30635-1740 | 2011-09-25 |
| 1255568952 | Donald Joseph Piela Jr. | Pharmacist | 101 College Ave, Elberton, GA 30635-1705 | 2009-06-19 |
| Find all providers in ELBERTON | ||||
Please comment or provide details below to improve the information on JACKIE 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.