HARRIS TEETER, LLC (NPI# 1922240100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922240100 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER, LLC |
| Other Organization Name | HARRIS TEETER PHARMACY |
| Practice Address |
14520 John Rex Blvd Raleigh NC 27614 |
| Mailing Address |
701 Crestdale Rd Matthews NC 28105-1700 |
| Practice Telephone | 9195562434 |
| Practice Fax Number | 7048446556 |
| Mailing Telephone | 7048443100 |
| Mailing Fax Number | 7048446556 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | ROSE WARD (MANAGER PHARMACY ACCOUNTING/AR) |
| Authorized Official Telephone | 7048446524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 10286 | NC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10286 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 3414391 | 01 | |
| DEA | FH1350141 | 01 | |
| NC | 0920317 | 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 |
14520 JOHN REX BLVD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205375011 | Corey Lee Koonce | Pharmacist | 14520 John Rex Blvd, Raleigh, NC 27614-8592 | 2017-02-14 |
| 1609213099 | Kyle Matala | Pharmacist | 14520 John Rex Blvd, Raleigh, NC 27614-8592 | 2013-05-27 |
| 1346534955 | Amy Ellington Baker | Pharmacist | 14520 John Rex Blvd, Raleigh, NC 27614-8592 | 2011-06-01 |
| 1841582889 | Desiree Mendoza Mclawhorn | Pharmacist | 14520 John Rex Blvd, Raleigh, NC 27614-8592 | 2011-05-10 |
| 1518259696 | Kelly Haharin Priest | Pharmacist | 14520 John Rex Blvd, Raleigh, NC 27614-8592 | 2011-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1700021557 | Wake Forest Counseling Associates, Pllc | Counselor | 3021 Berks Way, Suite 101, Raleigh, NC 27614 | 2008-12-09 |
| Find all providers in zip 27614 | ||||
| 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 |
|---|---|---|---|---|
| 1366073777 | Medly Raleigh Inc. | Pharmacy | 3029 Capital Blvd Ste 105, Raleigh, NC 27604-3377 | 2020-02-04 |
| 1184264897 | Springfield Pharmacy LLC | Pharmacy | 6325 Falls of Neuse Rd Ste 65, Raleigh, NC 27615-6884 | 2020-01-10 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1639646532 | Oakridge Rx LLC | Pharmacy | 2406 Blue Ridge Rd Ste 180, Raleigh, NC 27607-6692 | 2018-10-29 |
| 1093258295 | U.S. Pharmamed, LLC | Pharmacy | 3450 Tarheel Dr., Ste #101 Bldg. 4, Attn: Licensing, Raleigh, NC 27609 | 2016-11-21 |
| 1821465568 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3001 Hillsborough St, Suite 100, Raleigh, NC 27607-5434 | 2015-08-28 |
| 1073909701 | Onerx, LLC | Pharmacy | 8490 Honeycutt Rd, Suite 103, Raleigh, NC 27615-2262 | 2015-04-09 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| 1346657129 | Morgan Street Pharmacy LLC | Pharmacy | 927 W Morgan St, Ste 100, Raleigh, NC 27603-1600 | 2014-07-14 |
| Find all providers in RALEIGH | ||||
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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.