HARRIS TEETER, LLC (NPI# 1558457002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558457002 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER, LLC |
| Other Organization Name | HARRIS TEETER PHARMACY |
| Practice Address |
42015 Village Center Plaza Aldie VA 20105 |
| Mailing Address |
701 Crestdale Rd Matthews NC 28105 |
| Practice Telephone | 7035428344 |
| Practice Fax Number | 7048446556 |
| Mailing Telephone | 7048443100 |
| Mailing Fax Number | 7048446556 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-10-10 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004049 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 4838922 | 01 | |
| DEA | BH9439349 | 01 | |
| VA | 010217423 | 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 |
42015 VILLAGE CENTER PLAZA |
| City | ALDIE |
| State | VA |
| Zip Code | 20105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649243908 | Tiffany Dunbar Lione | Optometrist | 42015 Village Center Plaza, Suite 103, Aldie, VA 20105 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1447714415 | Stone Ridge Pharmacy, LLC | Pharmacy | 24560 Southpoint Drive Suite 190, Aldie, VA 20105 | 2019-01-24 |
| 1932675691 | Birdsong Home Healthcare, LLC | Home Health | 25288 Gary Poplar Terrence, Aldie, VA 20105 | 2018-10-22 |
| 1427508845 | Virginia Family & Cosmetic Dentistry | Clinic/Center | 24585 Stone Carver Drive, Suite 225, Aldie, VA 20105 | 2016-10-10 |
| 1053562504 | Anna Carrenina Wiesbauer | Physical Therapist | 25062 Lind Court, Aldie, VA 20105 | 2008-10-02 |
| 1790803153 | Andrew Howard Heyman | Family Medicine | 39070 John Mosby Highway, Aldie, VA 20105 | 2007-03-26 |
| 1386638732 | Tahir Ahmad | Internal Medicine | Encompass Health Rehabiliation Hospital of Northern Va, 24430 Millstream Drive, Aldie, VA 20105 | 2005-08-31 |
| 1831645803 | Heather Singleton | Marriage & Family Therapist | 24600 Millstream Dr Ste 340, Stone Ridge, VA 20105 | 2016-08-30 |
| 1902126949 | Middleburg Neuromuscular Medicine and Rehabilitation, Plc | Physical Medicine & Rehabilitation | 24430 Millstream Drive, Aldie, VA 20105 | 2010-06-01 |
| 1720312127 | Encompass Health Rehabilitation Hospital of Northern Virginia, LLC | Rehabilitation Hospital | 24430 Millstream Drive, Aldie, VA 20105 | 2009-10-01 |
| Find all providers in zip 20105 | ||||
| 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 |
|---|---|---|---|---|
| 1447714415 | Stone Ridge Pharmacy, LLC | Pharmacy | 24560 Southpoint Drive Suite 190, Aldie, VA 20105 | 2019-01-24 |
| 1659860500 | St Theodore LLC | Pharmacy | 24585 Stone Carver Dr Ste 175, Aldie, VA 20105-2798 | 2018-05-07 |
| 1073655049 | Walgreen Co. | Pharmacy | 42025 Village Center Plaza, Aldie, VA 20105-3027 | 2007-02-13 |
| 1386119774 | Amy Elizabeth Tetro-wenger | Pharmacy | 24585 Stone Carver Dr Ste 175, Aldie, VA 20105-2798 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| 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.