HARRIS TEETER, LLC (NPI# 1487756870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487756870 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER, LLC |
| Other Organization Name | HARRIS TEETER PHARMACY |
| Practice Address |
11516 Providence Rd. Charlotte NC 28277 |
| Mailing Address |
701 Crestdale Rd Matthews NC 28105-1700 |
| Practice Telephone | 7048414019 |
| Practice Fax Number | 7048446556 |
| Mailing Telephone | 7048443100 |
| Mailing Fax Number | 7048446556 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | ROSE 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 | 08188 | NC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
08188 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BH8185553 | 01 | |
| NC | 0609616 | 05 | |
| MEDICAID DME | 7703808 | 01 | |
| NABP | 3440459 | 01 |
| 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 |
11516 PROVIDENCE RD. |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| 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 |
|---|---|---|---|---|
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1770121998 | Capsule Charlotte LLC | Pharmacy | 2041 South Blvd Ste 103, Charlotte, NC 28203-5775 | 2019-12-18 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1720576085 | D&d Pharmacy LLC | Pharmacy | 2903 Central Ave Ste A, Charlotte, NC 28205-6073 | 2018-04-23 |
| 1609302173 | Charlotte Family Pharmacy | Pharmacy | 7008 E Wt Harris Blvd Ste 4, Charlotte, NC 28215-4298 | 2017-05-03 |
| 1316483472 | Health Saver Rx, LLC | Pharmacy | 3809 Beam Road Suite H, Suite H, Charlotte, NC 28217 | 2017-01-13 |
| 1396195913 | Rxcp2 | Pharmacy | 6010 E W T Harris Blvd, Charlotte, NC 28215-4084 | 2016-06-14 |
| 1396146452 | Genoa Healthcare, LLC | Pharmacy | 5700 Executive Center Dr Ste 216, Charlotte, NC 28212-8833 | 2014-09-09 |
| 1245630706 | Walgreens Co. | Pharmacy | 2720 South Blvd, Apt 122, Charlotte, NC 28209-0004 | 2014-09-02 |
| Find all providers in CHARLOTTE | ||||
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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.