Provider Demographics
NPI:1467587717
Name:HARRIS, SHARON R (RPH)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:R
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 W 120TH ST
Mailing Address - Street 2:APT. 305
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6702
Mailing Address - Country:US
Mailing Address - Phone:212-663-2038
Mailing Address - Fax:
Practice Address - Street 1:281 AVENUE OF THE AMERICAS
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-4723
Practice Address - Country:US
Practice Address - Phone:212-242-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0252042183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0252042OtherPHARMACIST