HARRIS TEETER, LLC (NPI# 1164526307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164526307 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER, LLC |
| Other Organization Name | HARRIS TEETER PHARMACY |
| Practice Address |
1817 Martin Luther King Jr. Pkwy. Durham NC 27707 |
| Mailing Address |
701 Crestdale Rd Matthews NC 28105-1700 |
| Practice Telephone | 9194021917 |
| Practice Fax Number | 7048446556 |
| Mailing Telephone | 7048443100 |
| Mailing Fax Number | 7048446556 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | RPSE WARD (MANAGER, PHARMACY ADMIN/AR) |
| Authorized Official Telephone | 7048446524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 07237 | NC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
07237 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 3436157 | 01 | |
| DEA | BH6083632 | 01 | |
| MEDICAID DME | 7703253 | 01 | |
| NC | 0326487 | 05 |
| Other Name | Type Code |
|---|---|
| Harris Teeter Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1760805931 | Harris Teeter, LLC | Pharmacy | 3779 Boston Street, Baltimore, MD 21224 | 2014-01-24 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1093142796 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 22700 Sweet Shrub Drive, Clarksburg, MD 20871 | 2013-09-26 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1144596438 | Harris Teeter, LLC | Pharmacy | 105 Purcellville Gateway Dr, Purcellville, VA 20132-3485 | 2012-03-30 |
| 1881968345 | Harris Teeter, LLC | Pharmacy | 3249 Tyre Neck Rd, Portsmouth, VA 23703-3328 | 2012-03-01 |
| 1407129885 | Harris Teeter, LLC | Pharmacy | 33 Office Park Rd, Suite 100, Hilton Head, SC 29928-4612 | 2012-02-16 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1386923761 | Harris Teeter, LLC | Pharmacy | 545 Radford Ln, Charlottesville, VA 22903-7465 | 2011-08-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Harris Teeter, LLC | 701 Crestdale Rd , Matthews, NC 28105-1700 |
| Virginia Business Entity | Harris Teeter, LLC | 701 CRESTDALE RD , MATTHEWS, NC 28105 |
| Street Address |
1817 MARTIN LUTHER KING JR. PKWY. |
| City | DURHAM |
| State | NC |
| Zip Code | 27707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1609409564 | Parkwest 124 Inc | Pharmacy | 4900 Nc Highway 55 Ste 160, Durham, NC 27713-7810 | 2020-02-19 |
| 1154897189 | Pruitthealth Pharmacy Services - Durham, Inc. | Pharmacy | 4022 Stirrup Creek Dr Ste 325, Durham, NC 27703-8971 | 2018-10-17 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1730671629 | Russell's Pharmacy & Shoppe LLC | Pharmacy | 2116 Angier Ave, Durham, NC 27703-4260 | 2018-06-05 |
| 1568902724 | Balasai Pharmacy LLC | Pharmacy | 5826 Fayetteville Rd Ste 105, Durham, NC 27713-8684 | 2017-03-06 |
| 1790088904 | Triangle Pharmacy | Pharmacy | 1700 East Highway 54, Durham, NC 27713-2197 | 2010-12-09 |
| 1225261795 | Walgreen Co | Pharmacy | 3793 Guess Rd, Durham, NC 27705-6910 | 2009-08-31 |
| 1295838985 | North Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 2010 Sedwick Rd, Durham, NC 27713-4452 | 2006-09-07 |
| 1780787481 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3737 N Roxboro Rd, Durham, NC 27704 | 2006-09-07 |
| 1245333012 | North Carolina Cvs Pharmacy LLC | Pharmacy | 5311 N Roxboro Rd, Durham, NC 27712-2227 | 2006-09-07 |
| Find all providers in DURHAM | ||||
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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.