HARRIS TEETER, LLC (NPI# 1588768816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588768816 |
Entity Type | Organization |
Organization Name | HARRIS TEETER, LLC |
Other Organization Name | HARRIS TEETER PHARMACY |
Practice Address |
3333 Virginia Bch Blvd. #101 Virginia Beach VA 23452 |
Mailing Address |
701 Crestdale Rd Matthews NC 28105-1700 |
Practice Telephone | 7576312415 |
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 | ROSE WARD (MANAGER, PHARMACY ACCOUNTING) |
Authorized Official Telephone | 7048446534 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201003968 | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICAID DME | 010074631 | 01 | |
NABP | 48-38061 | 01 | |
DEA | BH8721068 | 01 | |
VA | 10061831 | 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 |
3333 VIRGINIA BCH BLVD. #101 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
Find all providers in zip 23452 |
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 |
---|---|---|---|---|
1952962581 | Ag Pharmacy, LLC | Pharmacy | 3322 Holland Rd Ste A, Virginia Beach, VA 23452-4826 | 2019-06-25 |
1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
1851714026 | Harris Teeter,llc | Pharmacy | 4540 Princess Anne Road, Virginia Beach, VA 23462 | 2014-01-24 |
1427365691 | North Beach Enterprises, Inc. | Pharmacy | 3198 Pacific Ave, Suite 124, Virginia Beach, VA 23451-2949 | 2010-09-08 |
1619154341 | Harris Teeter LLC | Pharmacy | 5060 Ferrell Parkway, Virginia Beach, VA 23464 | 2008-01-24 |
1043355423 | Excelscript Inc | Pharmacy | 3053 Shore Dr, Virginia Beach, VA 23451-1247 | 2007-02-21 |
1922193051 | Harris Teeter, LLC | Pharmacy | 2476 Nimmo Parkway, Virginia Beach, VA 23456 | 2006-10-04 |
1134212434 | Harris Teeter, LLC | Pharmacy | 2800 Artic Avenue, Virginia Beach, VA 23451 | 2006-10-02 |
1700894649 | Creative Pharmacy Solutions East LLC | Pharmacy | 4001 Virginia Beach Blvd Ste 110, Virginia Beach, VA 23452-1759 | 2006-08-04 |
1578570503 | Walgreen Co | Pharmacy | 4768 Shore Dr, Virginia Beach, VA 23455-2713 | 2006-08-02 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23452 |
Please comment or provide details below to improve the information on HARRIS TEETER, LLC.
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.