HARRIS TEETER, LLC (NPI# 1407129885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407129885 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER, LLC |
| Other Organization Name | HARRIS TEETER PHARMACY |
| Practice Address |
33 Office Park Rd Suite 100 Hilton Head SC 29928-4612 |
| Mailing Address |
Po Box 842772 Boston MA 02284 |
| Practice Telephone | 8437852333 |
| Practice Fax Number | 8437852507 |
| Mailing Telephone | 5137621019 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2016-08-26 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| HARRIS TEETER PHARMACY | Doing Business As Name - 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 |
| 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 |
| 1053690867 | Harris Teeter, LLC | Pharmacy | 400 Mill Creek Rd, Carthage, NC 28327 | 2011-08-10 |
| 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 |
33 OFFICE PARK RD SUITE 100 |
| City | HILTON HEAD |
| State | SC |
| Zip Code | 29928-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891127197 | Jennifer Bonomini | Pharmacist | 33 Office Park Rd, Hilton Head, SC 29928-4612 | 2013-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156683 | Donna Lynn Farrell | Counselor | 40 Folly Field Road, C 251, Hilton Head Island, SC 29928 | 2019-10-26 |
| 1316368400 | Kara Dunn | Pharmacist | 38 Shelter Cove Lane, Hilton Head Island, SC 29928 | 2013-12-17 |
| 1821347782 | Grant Golden Mckinley | Dentist | 2 Park Lane, Suite 302, Hilton Head, SC 29928 | 2012-09-06 |
| 1366791758 | Brockton Lamar Weisenberger | Family Medicine | 63 Planters Row, Hilton Head Island, SC 29928 | 2012-08-31 |
| 1578887147 | William Robert Jarvis | Pediatrics | 135 Dune Lane, Hilton Head Island, SC 29928 | 2010-03-25 |
| 1508906447 | Seabrook of Hilton Head, Inc | Skilled Nursing Facility | 300 Woodhaven Dr, Hilton Head Island, SC 29928 | 2007-02-08 |
| 1649319930 | Optical Solutions | Eyewear Supplier (Equipment, not the service) | W32 Plaza At Shelter Cove, Hilton Head Island, SC 29928 | 2007-02-05 |
| 1609964964 | Island Sleep Lab LLC | Clinic/Center | 58 Shelter Cove Lane, Suite E1, Hilton Head Island, SC 29928 | 2006-10-11 |
| 1598782435 | Lee Everett Oppenheimer | Dentist | 23b Shelter Cove Ln., Suite 200, Hilton Head Island, SC 29928 | 2006-07-16 |
| 1619227980 | Cynthia E Carlson | Pharmacist | 10 Pope Ave, Hilton Head, SC 29928 | 2012-09-14 |
| Find all providers in zip 29928 | ||||
| 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 |
|---|---|---|---|---|
| 1538262217 | South Carolina Cvs Pharmacy LLC | Pharmacy | 10 Pope Ave, Hilton Head, SC 29928-4719 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
| City | HILTON HEAD |
| Zip Code | 29928 |
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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.