HARRIS TEETER, LLC (NPI# 1598093627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598093627 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER, LLC |
| Other Organization Name | HARRIS TEETER PHARMACY |
| Practice Address |
3905 Fair Ridge Dr Fairfax VA 22033-2906 |
| Mailing Address |
701 Crestdale Rd Matthews NC 28105-1700 |
| Practice Telephone | 7038770580 |
| Practice Fax Number | 7038770592 |
| Mailing Telephone | 7048443100 |
| Mailing Fax Number | 7048446556 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | ROSE W WARD (DIR PHARMACY ACCOUNTING) |
| 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 |
VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NCPDP | 4841981 | 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 |
3905 FAIR RIDGE DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720371107 | Bela Ajay Naik | Pharmacist | 3905 Fair Ridge Dr, Fairfax, VA 22033-2906 | 2011-05-18 |
| 1639461213 | Aneta Drey | Pharmacist | 3905 Fair Ridge Dr, Fairfax, VA 22033-2906 | 2011-05-13 |
| 1831481563 | Bereket Shimeles | Pharmacist | 3905 Fair Ridge Dr, Fairfax, VA 22033-2906 | 2011-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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 |
|---|---|---|---|---|
| 1417411414 | District Rx LLC | Pharmacy | 8301 Arlington Blvd Ste 107, Fairfax, VA 22031-2902 | 2019-01-24 |
| 1194240077 | Qurex Pharmacy | Pharmacy | 3949 Pender Dr Ste 130, Fairfax, VA 22030-6033 | 2017-08-11 |
| 1942689609 | Medex Health Group LLC | Pharmacy | 3023 Hamaker Ct Ste Ll110, Fairfax, VA 22031-2630 | 2015-05-27 |
| 1649378100 | Virginia Cvs Pharmacy LLC | Pharmacy | 10090 Fairfax Blvd, Fairfax, VA 22030-1741 | 2006-09-20 |
| 1598869257 | Virginia Cvs Pharmacy LLC | Pharmacy | 10390 Willard Way, Fairfax, VA 22030-2508 | 2006-09-12 |
| 1619071370 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 13031 Lee Jackson Memorial Hwy, Fairfax, VA 22033-2048 | 2006-09-12 |
| 1255434809 | Harris Teeter, Inc. | Pharmacy | 10320 Main St, Fairfax, VA 22030-2410 | 2006-09-07 |
| 1609986231 | Costco Wholesale Corporation | Pharmacy | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2006-08-30 |
| 1275572620 | Bjs Wholesale Club Inc | Pharmacy | 13053 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2006-06-04 |
| 1942250816 | Fairfax Pharmacy Inc. | Pharmacy | 1275 Allendale Fairfax Hwy, Fairfax, SC 29827-9124 | 2006-05-11 |
| Find all providers in FAIRFAX | ||||
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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.