HARRIS TEETER LLC (NPI# 1629416557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629416557 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER LLC |
| Practice Address |
2120 Wayne Memorial Dr Goldsboro NC 27534-1722 |
| Mailing Address |
701 Crestdale Rd Matthews NC 28105-1700 |
| Practice Telephone | 9197312423 |
| Practice Fax Number | 9197319918 |
| Mailing Telephone | 7048443418 |
| Mailing Fax Number | 7048446512 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2014-08-11 |
| Authorized Official Name | MARY NOBLITT (LICENSE ADMINISTRATOR) |
| Authorized Official Telephone | 7048443418 |
| 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 |
| 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 |
2120 WAYNE MEMORIAL DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851615 | Kirstin Morris | Pharmacist | 2120 Wayne Memorial Dr, Goldsboro, NC 27534-1722 | 2020-08-11 |
| 1346691318 | Heather Allen | Pharmacist | 2120 Wayne Memorial Dr, Goldsboro, NC 27534-1722 | 2016-06-30 |
| 1821439217 | Lauren M Hawkins | Pharmacist | 2120 Wayne Memorial Dr, Goldsboro, NC 27534-1722 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| 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 |
|---|---|---|---|---|
| 1417483058 | Realo Discount Drugs of Wayne Co., Inc | Pharmacy | 515 E New Hope Rd, Goldsboro, NC 27534-7004 | 2017-05-02 |
| 1023111713 | North Carolina Cvs Pharmacy LLC | Pharmacy | 2203 Wayne Memorial Dr, Goldsboro, NC 27534-1723 | 2006-09-07 |
| 1669489662 | Walgreen Co | Pharmacy | 2606 E Ash St, Goldsboro, NC 27534-4515 | 2006-08-02 |
| 1073535639 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1204 Sunburst Dr, Goldsboro, NC 27534-8202 | 2006-07-24 |
| 1669990693 | Walgreen Co | Pharmacy | 100 S Berkeley Blvd, Goldsboro, NC 27534 | 2017-08-30 |
| 1659824274 | Wayne Pharmacy Inc | Pharmacy | 2302 Wayne Memorial Dr, Goldsboro, NC 27534-1726 | 2016-08-01 |
| 1811343502 | Adco50 Inc | Pharmacy | 223 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2016-05-11 |
| 1801295027 | Carlie C's of Memorial Drive, LLC | Pharmacy | 1805 Wayne Memorial Dr, Goldsboro, NC 27534-2241 | 2014-08-14 |
| 1609297316 | Southeast Family Pharmacy Inc | Pharmacy | 223 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2013-12-23 |
| 1891940060 | Carlie Cs of Memorial Drive LLC | Pharmacy | 1805 Wayne Memorial Dr, Goldsboro, NC 27534-2241 | 2008-12-01 |
| Find all providers in GOLDSBORO | ||||
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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.