HARRIS TEETER, LLC (NPI# 1003015371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003015371 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER, LLC |
| Other Organization Name | HARRIS TEETER PHARMACY |
| Practice Address |
7910 Crescent Park Dr. Gainesville VA 20155 |
| Mailing Address |
701 Crestdale Rd Matthews NC 28105-1700 |
| Practice Telephone | 7037537724 |
| Practice Fax Number | 7048446556 |
| Mailing Telephone | 7048443100 |
| Mailing Fax Number | 7048446556 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | ROSE WARD (MANAGER, PHARMACY ADMIN/AR) |
| Authorized Official Telephone | 7048446524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004176 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1003015371 | 05 | |
| DEA | FH0480448 | 01 | |
| NABP | 4840307 | 01 |
| 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 |
7910 CRESCENT PARK DR. |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| 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] |
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| 1164042867 | Northeast Georgia Medical Center, Inc. | Pharmacy | 1439 Jesse Jewell Pkwy Ne, Gainesville, GA 30501-3806 | 2020-04-22 |
| 1376020883 | Avp Pharma LLC | Pharmacy | 7261 Nw 4th Blvd, Gainesville, FL 32607-1600 | 2018-07-26 |
| 1306365010 | Holiday Cvs, L.L.C. | Pharmacy | 250 Nw 13th St, Gainesville, FL 32601-5166 | 2017-09-13 |
| 1700300506 | Pharmasutra Pllc | Pharmacy | 7963 Heritage Village Plz, Gainesville, VA 20155-3077 | 2017-08-02 |
| 1336569946 | Anderson-scokelee, Inc | Pharmacy | 5001 Nw 34th Blvd Ste B, Gainesville, FL 32605-1190 | 2014-04-22 |
| 1417391194 | Northside Hospital, Inc. | Pharmacy | 1240 Jesse Jewell Pkwy Se Ste 550, Gainesville, GA 30501-3863 | 2013-04-24 |
| 1871852848 | Gainesville Pharmacy LLC | Pharmacy | 7963 Heritage Village Plaza, Gainesville, VA 20155 | 2012-05-11 |
| 1700112000 | Shands Teaching Hospital and Clinics, Inc. | Pharmacy | 1515 Sw Archer Rd., Room 1010, Gainesville, FL 32608 | 2009-10-22 |
| 1518001296 | Court Square Pharmacy | Pharmacy | 101 East Third, Gainesville, MO 65655-0414 | 2007-02-16 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
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.