HARRIS TEETER LLC (NPI# 1962942326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962942326 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER LLC |
| Other Organization Name | HARRIS TEETER PHARMACY #304 |
| Practice Address |
10440 Glenwood Durham NC 27617 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 9199096375 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| 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 #304 | 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 |
| 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 |
10440 GLENWOOD |
| City | DURHAM |
| State | NC |
| Zip Code | 27617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243808 | Maja V Martin Dds Pa II | Clinic/Center | 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 | 2020-07-29 |
| 1568006310 | Aubrey Nicole Stephenson | Dietitian, Registered | 8801 Fast Park Dr Suite 211, Raleigh, NC 27617 | 2019-11-05 |
| 1982114567 | Method Manual Physical Therapy and Wellness LLC | Physical Therapist | 9244 Miranda Drive, Raleigh, NC 27617 | 2017-10-09 |
| 1588182539 | Aqsa Salman | Counselor | 11736 Dellcain Court, Raleigh, NC 27617 | 2017-08-30 |
| 1457896037 | Emergeortho Pa | Durable Medical Equipment & Medical Supplies | 7850 Brier Creek Parkway, Suites 200, Raleigh, NC 27617 | 2017-01-05 |
| 1033667621 | Hillary Houghton | Nurse Practitioner | 10211 Alm St # 210, Raleigh, NC 27617 | 2016-09-13 |
| 1821449406 | John William Langel | Optometrist | 8851 Ellstree Ln Ste 200, Raleigh, NC 27617 | 2016-06-24 |
| 1821457789 | Acariahealth Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 7231 Acc Blvd Ste 103, Raleigh, NC 27617 | 2016-02-19 |
| 1033583760 | America Alisha Allen | Social Worker | 8610 Brittdale Lane, Apt 307, Raleigh, NC 27617 | 2015-11-18 |
| 1396089108 | Triangle Orthopaedics Surgery Center | Clinic/Center | 7921 Acc Blvd, Raleigh, NC 27617 | 2012-11-16 |
| Find all providers in zip 27617 | ||||
| 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 |
|---|---|---|---|---|
| 1609409564 | Parkwest 124 Inc | Pharmacy | 4900 Nc Highway 55 Ste 160, Durham, NC 27713-7810 | 2020-02-19 |
| 1154897189 | Pruitthealth Pharmacy Services - Durham, Inc. | Pharmacy | 4022 Stirrup Creek Dr Ste 325, Durham, NC 27703-8971 | 2018-10-17 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1730671629 | Russell's Pharmacy & Shoppe LLC | Pharmacy | 2116 Angier Ave, Durham, NC 27703-4260 | 2018-06-05 |
| 1568902724 | Balasai Pharmacy LLC | Pharmacy | 5826 Fayetteville Rd Ste 105, Durham, NC 27713-8684 | 2017-03-06 |
| 1790088904 | Triangle Pharmacy | Pharmacy | 1700 East Highway 54, Durham, NC 27713-2197 | 2010-12-09 |
| 1225261795 | Walgreen Co | Pharmacy | 3793 Guess Rd, Durham, NC 27705-6910 | 2009-08-31 |
| 1295838985 | North Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 2010 Sedwick Rd, Durham, NC 27713-4452 | 2006-09-07 |
| 1780787481 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3737 N Roxboro Rd, Durham, NC 27704 | 2006-09-07 |
| 1245333012 | North Carolina Cvs Pharmacy LLC | Pharmacy | 5311 N Roxboro Rd, Durham, NC 27712-2227 | 2006-09-07 |
| Find all providers in DURHAM | ||||
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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.