MR. WILLIE CLEO HARRIS JR.


Address: Va Medical Center Pharmacy, 1500 E Woodrow Wilson Ave, Jackson, MI 39216-5199
Phone: 6013641556

MR. WILLIE CLEO HARRIS JR. (NPI# 1942396569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942396569
Entity Type Individual
Full Name MR. WILLIE CLEO HARRIS JR.
Other Name WILLIE CLEO HARRIS JR.
Practice Address Va Medical Center Pharmacy
1500 E Woodrow Wilson Ave
Jackson
MI 39216-5199
Mailing Address P.o. Box 6012
Pearl
MI 39288-6012
Practice Telephone 6013641556
Practice Fax Number 6013641548
Mailing Telephone 6013641556
Mailing Fax Number 6013641548
Enumeration Date 2006-10-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist E-4082 MS Pharmacy Service Providers

Other Providers WILLIE HARRIS

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1962661330 Willie Esau Harris Assisted Living Facility 6248 W Avenue J11, Lancaster, CA 93536-1716 2008-06-02
1255306841 Willie George Harris Obstetrics & Gynecology James .a. Haley Va Hospital, 13000 Bruce B. Downs Blvd., Tampa, FL 33612-4745 2006-02-17
1013492768 Willie Terence Harris Case Manager/Care Coordinator 300 E 20th St, Hope, AR 71801-8217 2018-09-28
1346736212 Willie James Harris Jr. Social Worker 44447 10th St W, Lancaster, CA 93534-3324 2018-07-03
1649638164 Willie Harris Counselor 4747 Earhart Blvd Ste D, New Orleans, LA 70125-1747 2016-01-29
1477506095 Willie Harris Psychiatry & Neurology 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 2006-05-17

Office Location

Street Address VA MEDICAL CENTER PHARMACY
1500 E WOODROW WILSON AVE
City JACKSON
State MI
Zip Code 39216-5199

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841890662 Angela Shawn Bradley Pharmacist 1589 Ky Hwy 15 South, Jackson, KY 41339 2020-10-30
1871191734 Ranita Greer Pharmacist 59 Ky-15 N, Jackson, KY 41339 2020-10-13
1790398287 Haleema Saadia Pharmacist 3144 North Avenue, Jackson, TN 38305-0100 2020-08-25
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1124645965 Archis B Patel Pharmacist 6 Moet Ct, Jackson, NJ 08527-3090 2020-06-27
1417579798 Alvin Ray Stewart Sr. Pharmacist 696 Cedar Springs Dr, Jackson, MS 39212-5710 2020-05-10
1033731492 Jamie Hines Mckinley Pharmacist 1500 E Woodrow Wilson Ave Dept 119-a, Jackson, MS 39216-5116 2020-05-08
1356980643 Bethany Powers Pharmacist 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 2020-01-03
1770130650 Elizabeth Hearn Pharmacist 1345 Simwood Pl, Jackson, MS 39211-6352 2019-08-24
1306493929 Stephen Benjamin Porter Pharmacist 350 W Woodrow Wilson Ave Rm Me101-42, Jackson, MS 39213-7681 2019-08-19
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

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.

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