DR. JESSICA E HARRIS (NPI# 1184734956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184734956 |
| Entity Type | Individual |
| Full Name | DR. JESSICA E HARRIS |
| Credential | PHARM.D. |
| Practice Address |
3350 La Jolla Village Dr # 119 San Diego CA 92161-0002 |
| Practice Telephone | 8585528585 |
| Mailing Telephone | 8585528585 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
56518 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154825 | Jessica Rea Harris | Social Worker | 409 Capitol View Dr, Jefferson City, MO 65101-3904 | 2020-05-05 |
| 1235602822 | Jessica Dawn Harris | Social Worker | 5885 S Bob White Dr, Kimball, MI 48074-4619 | 2019-01-07 |
| 1518432277 | Jessica Harris | Chiropractor | 4073 Lavista Rd Ste 371, Tucker, GA 30084-5221 | 2018-10-09 |
| 1497242564 | Jessica Harris | Specialist/Technologist | 2962 Woodcrest Dr, Panama City, FL 32405-2033 | 2018-04-15 |
| 1801391149 | Jessica L Harris | Licensed Vocational Nurse | 14 Bayberry Ct, Wichita Falls, TX 76310-3423 | 2018-03-28 |
| 1629589395 | Jessica Harris | Counselor | 13602 Colgate Way Apt 648, Silver Spring, MD 20904-7218 | 2017-10-20 |
| 1518488238 | Jessica Faye Harris | Marriage & Family Therapist | 2001 S Barrington Ave Ste 117, Los Angeles, CA 90025-5337 | 2017-07-03 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| 1336543024 | Jessica Harris | Physical Therapy Assistant | 1624 Corinthian Dr, Apt 1815, Florence, KY 41042-8879 | 2014-10-09 |
| 1396018370 | Jessica N Harris | Counselor | 380 Akolea Rd, Hilo, HI 96720-1522 | 2012-02-21 |
| Street Address |
3350 LA JOLLA VILLAGE DR # 119 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144746041 | Lauren Andrea Wong | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2017-08-22 |
| 1366844052 | Angela Katherine Bougetz | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2014-09-24 |
| 1386045243 | Lois Kim | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2014-09-10 |
| 1760816334 | Nader Milad Tossoun | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2013-08-30 |
| 1275833618 | Elizabeth Gramer | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2010-11-02 |
| 1518272509 | Jiayi Huang | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2010-08-13 |
| 1720272578 | Mark Bounthavong | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2007-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393648 | Tam Jacobson | Pharmacist | 11631 Miro Cir, San Diego, CA 92131-3320 | 2016-05-05 |
| 1508116997 | Jeffrey A Killian | Pharmacist | 425 W. Beech St # 1258, San Diego, CA 92101-8431 | 2012-09-13 |
| 1144473471 | Matthew E Dehner | Pharmacist | 11945 Handrich Dr, San Diego, CA 92131-1411 | 2008-10-30 |
| 1972691053 | Henry Claude Walker | Pharmacist | 10990 San Diego Mission Rd Rm 2313, San Diego, CA 92108-2417 | 2006-10-11 |
| 1447348206 | Bryan Nguyen | Pharmacist | 10680 Treena St Stop 5, San Diego, CA 92131-2447 | 2006-10-10 |
| 1124127527 | Annalisa Porter | Pharmacist | 10010 Campus Point Dr, San Diego, CA 92121-1518 | 2006-09-22 |
| 1295837847 | Providence Distefano Morris | Pharmacist | 3150 Goldfinch St, San Diego, CA 92103-5412 | 2006-09-03 |
| 1528175189 | Charles K Tuey | Pharmacist | 10272 Wateridge Circle #233, San Diego, CA 92121-5736 | 2006-08-23 |
| 1780691659 | Stacey C Nguyen | Pharmacist | 7841 Camino Huerta, San Diego, CA 92122-1833 | 2006-08-02 |
| 1144243809 | Anthony P Morreale | Pharmacist | Va San Diego Healthcare System Pharmacy # 119, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2006-07-25 |
| Find all providers in SAN DIEGO | ||||
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| 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.