HARRIS TEETER LLC (NPI# 1386094977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386094977 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER LLC |
| Other Organization Name | HARRIS TEETER PHARMACY #324 |
| Practice Address |
15501 Annapolis Rd Suite 400 Bowie MD 20715 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 7042387906 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | ALLISON MUENNICH (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 #324 | 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 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Harris Teeter LLC | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Street Address |
15501 ANNAPOLIS RD SUITE 400 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205346277 | Sandy Lim | Pharmacist | 15501 Annapolis Rd, Bowie, MD 20715-3046 | 2017-10-04 |
| 1376053611 | Celia M. Brown | Pharmacist | 15501 Annapolis Rd, Bowie, MD 20715-3046 | 2017-09-30 |
| 1568980597 | Dianna N Kenner-staves | Pharmacist | 15501 Annapolis Rd, Bowie, MD 20715-3046 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| 1295098325 | Margo Ree Adesanya | Dentist | 6911 Laurel - Bowie Rd, Suite 204, Bowie, MD 20715 | 2012-06-22 |
| Find all providers in zip 20715 | ||||
| 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 |
|---|---|---|---|---|
| 1083075683 | K3j LLC | Pharmacy | 503 E London St, Bowie, TX 76230-3020 | 2016-03-10 |
| 1699864744 | Maryland Cvs Pharmacy LLC | Pharmacy | 6001 High Bridge Road, Bowie, MD 20720 | 2006-10-12 |
| 1194829986 | Cvs Pharmacy Inc | Pharmacy | 1419 Highway 59 N, Bowie, TX 76230-3014 | 2006-09-12 |
| 1669576583 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 6920 Laurel Bowie Rd, Bowie, MD 20715-1710 | 2006-09-12 |
| 1407252869 | Trinity Resources Group, Inc | Pharmacy | 3327 Superior Ln, Suite 205, Bowie, MD 20715-1922 | 2014-11-13 |
| 1225104987 | Bowie Memorial Hospital | Pharmacy | 705 E Greenwood Ave, Bowie, TX 76230 | 2006-11-27 |
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| 1235751470 | Complete Wellness Pharmacy LLC | Pharmacy | 5732 Buckeystown Pike Ste 24, Frederick, MD 21704-5180 | 2020-05-11 |
| 1336774363 | Padonia Village Pharmacy | Pharmacy | 17 E Padonia Rd, Lutherville Timonium, MD 21093-2306 | 2020-03-10 |
| 1881234904 | The Pharmacia | Pharmacy | 1809 Reisterstown Rd Ste 115, Pikesville, MD 21208-6329 | 2020-01-07 |
| 1184266355 | Kent Island Pharmacy, LLC | Pharmacy | 382 Thompson Creek Mall, Stevensville, MD 21666-2593 | 2019-10-09 |
| 1730720624 | Tidewater Drug and Health Care | Pharmacy | 30170 Three Notch Rd Unit B, Charlotte Hall, MD 20622-4119 | 2019-10-02 |
| 1598312654 | Alsbiz Group Inc. | Pharmacy | 602 Cherry Hill Rd, Baltimore, MD 21225-1229 | 2019-08-23 |
| 1356997407 | Well-rx LLC | Pharmacy | 10151 York Rd Ste 105-106, Cockeysville, MD 21030-3314 | 2019-08-14 |
| 1184277279 | The Pharmacy At, Inc | Pharmacy | 524 E Belvedere Ave Ste A, Baltimore, MD 21212-3701 | 2019-07-18 |
| Find all providers with the same taxonomy | ||||
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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.