HARRIS TEETER LLC (NPI# 1659475085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659475085 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER LLC |
| Other Organization Name | HARRIS TEETER PHARMACY |
| Practice Address |
6610 Old Monroe Rd. Indian Trail NC 28079 |
| Mailing Address |
701 Crestdale Rd Matthews NC 28105-1700 |
| Practice Telephone | 7042891193 |
| Practice Fax Number | 7048446556 |
| Mailing Telephone | 7048443100 |
| Mailing Fax Number | 7048446556 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | JESSICA WARMAN (MANAGER RX 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 |
09041 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0905555 | 05 | |
| NABP | 3403540 | 01 | |
| MEDICAID DME | 7704395 | 01 | |
| DEA | BH9308948 | 01 |
| Other Name | Type Code |
|---|---|
| Harris Teeter Pharmacy | Other Name - Individual/Organization |
| 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 |
6610 OLD MONROE RD. |
| City | INDIAN TRAIL |
| State | NC |
| Zip Code | 28079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297485 | Carolina Cala | Community/Behavioral Health | 3817 Balsam St, Indian Trail, NC 28079 | 2018-05-31 |
| 1992294805 | Dr Patel & Associates, Pa | Clinic/Center | 6046 W Highway 74, Indian Trail, NC 28079 | 2018-05-07 |
| 1306389085 | Creative Counseling and Consulting, LLC | Counselor | 4389 Indian Trail-fairview Road, Indian Trail, NC 28079 | 2016-11-29 |
| 1922481381 | Aakar Gaurang Chokshi | Dentist | 5850 W Highway 74 Ste 135, Indian Trail, NC 28079 | 2015-07-02 |
| 1881944536 | Francy Johana Rodriguez | Naturopath | 124 Unionville Indian Trail Rd W Ste A9, Indian Trail, NC 28079 | 2012-09-10 |
| 1669767653 | Leigh Ann Zimmerman Tasillo | Psychologist | 124 Unionville-indian Trail Rd., Suite B3, Indian Trail, NC 28079 | 2011-06-17 |
| 1679715650 | Indian Trail Chiropractic & Rehabilitation, Pa | Chiropractor | 100 Park Road East, Indian Trail, NC 28079 | 2009-04-06 |
| 1003079518 | Shemeeka L Mcfadden | Optometrist | 5850 Us-74, Unit 116, Indian Trail, NC 28079 | 2008-07-03 |
| 1023290046 | Gary Lee Vaughn | Technician/Technologist | 622 Indian Trail Rd, Indian Trail, NC 28079 | 2007-11-30 |
| 1750574331 | Susana C Junco | Dentist | 136 Indian Trail Rd, Indian Trail, NC 28079 | 2007-08-27 |
| Find all providers in zip 28079 | ||||
| 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 |
|---|---|---|---|---|
| 1730282369 | North Carolina Cvs Pharmacy LLC | Pharmacy | 4300 Old Monroe Rd, Indian Trail, NC 28079-5305 | 2006-09-07 |
| 1417292244 | Indian Trail Pharmacy, Inc. | Pharmacy | 106 Indian Trail Rd S, Indian Trail, NC 28079-9669 | 2012-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1871100164 | Pittsboro Pharmacy | Pharmacy | 630 East St Ste 11, Pittsboro, NC 27312-9475 | 2020-09-30 |
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1881200897 | University of North Carolina Health Care System | Pharmacy | 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 | 2020-09-16 |
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1912516196 | Avs 2020 Inc | Pharmacy | 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 | 2020-07-23 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN TRAIL |
| Zip Code | 28079 |
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.