HARRIS TEETER LLC (NPI# 1063914372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063914372 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER LLC |
| Other Organization Name | HARRIS TEETER PHARMACY #420 |
| Practice Address |
1720 Augusta St Greenville SC 29605 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 5137621019 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Harris Teeter Pharmacy #420 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901674 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 100 Wade Hampton Blvd, Greenville, SC 29609-5735 | 2020-04-21 |
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1205471521 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 500 Oberlin Rd, Raleigh, NC 27605-1318 | 2019-11-11 |
| 1639725112 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 950 S George Mason Dr, Arlington, VA 22204-1557 | 2019-08-12 |
| 1861957458 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1069 Independence Blvd, Virginia Beach, VA 23455-5523 | 2019-02-07 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1952895633 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 324 Village Walk Dr, Holly Springs, NC 27540-7683 | 2018-06-18 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1396247797 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 10125 Ward Rd, Dunkirk, MD 20754-2717 | 2018-03-02 |
| 1992216147 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 120 Saint Albans Dr Ste 100, Raleigh, NC 27609-5987 | 2017-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Harris Teeter LLC | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Street Address |
1720 AUGUSTA ST |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700365269 | Rachel Kaylyn Edwards | Pharmacist | 1720 Augusta St, Greenville, SC 29605 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| 1538534029 | Lakeisha Abney | Counselor | 101 B Regency Commons Dr., Greer, SC 29605 | 2015-12-09 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159758 | Hunt's Pharma Rx LLC | Pharmacy | 2934 W Interstate 30, Suite A, Greenville, TX 75402 | 2020-06-22 |
| 1912539818 | Greenville Pharmacy LLC | Pharmacy | 4209 Wesley St, Greenville, TX 75401-5637 | 2020-02-08 |
| 1285198283 | Pitt County Memorial Hospital Inc | Pharmacy | 2100 Stantonsburg Rd Rm 1ph-160, Greenville, NC 27834-2818 | 2019-01-24 |
| 1346713658 | Europa Enterprise LLC | Pharmacy | 2394 W Interstate 30 Ste A, Greenville, TX 75402 | 2019-01-09 |
| 1982173126 | Levee Drugs Inc | Pharmacy | 202 E Starling St # 1, Greenville, MS 38701-4707 | 2018-11-16 |
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1184127102 | Snyder Partners, LLC | Pharmacy | 4000 Wesley St Ste G, Greenville, TX 75401-9015 | 2018-03-15 |
| 1508382839 | Mrvm LLC | Pharmacy | 1701 Augusta St, Greenville, SC 29605-2925 | 2017-08-18 |
| 1992228902 | Walgreen Co | Pharmacy | 2616 Anderson Rd, Greenville, SC 29611-6020 | 2017-07-21 |
| 1659739118 | Meiya LLC | Pharmacy | 543 Haywood Rd Ste 4, Greenville, SC 29607-2710 | 2016-01-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on HARRIS TEETER LLC.
| 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.