HARRIS TEETER LLC (NPI# 1861957458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861957458 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER LLC |
| Practice Address |
1069 Independence Blvd Virginia Beach VA 23455-5523 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 7572170246 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Authorized Official Name | JESSIE WARMAN (MANAGER OF LICENSING) |
| Authorized Official Telephone | 5137621090 |
| 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 |
| Other Name | Type Code |
|---|---|
| HARRIS TEETER PHARMACY #09700464 | Doing Business As Name - 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 |
| 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 |
| 1992216147 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 120 Saint Albans Dr Ste 100, Raleigh, NC 27609-5987 | 2017-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Harris Teeter LLC | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Street Address |
1069 INDEPENDENCE BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-5523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304935 | Megan Garrod | Pharmacist | 1069 Independence Blvd, Virginia Beach, VA 23455-5523 | 2020-10-21 |
| 1922606664 | Britnee Gamboni | Pharmacist | 1069 Independence Blvd, Virginia Beach, VA 23455-5523 | 2020-10-14 |
| 1841381837 | Ff Acquisition LLC | Durable Medical Equipment & Medical Supplies | 1069 Independence Blvd, Virginia Beach, VA 23455-5523 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| 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 |
| 1588768816 | Harris Teeter, LLC | Pharmacy | 3333 Virginia Bch Blvd. #101, Virginia Beach, VA 23452 | 2006-09-08 |
| 1700894649 | Creative Pharmacy Solutions East LLC | Pharmacy | 4001 Virginia Beach Blvd Ste 110, Virginia Beach, VA 23452-1759 | 2006-08-04 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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.