HARRIS TEETER, LLC (NPI# 1649386616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649386616 |
| Entity Type | Organization |
| Organization Name | HARRIS TEETER, LLC |
| Practice Address |
3333 Pineville Matthews Rd Charlotte NC 28226-9322 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 7045444815 |
| Practice Fax Number | 7045444826 |
| Mailing Telephone | 5137621019 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | ALLISON BREDESTEGE (MANAGER 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 | 06492 | NC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
06492 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 3434292 | 01 | |
| NC | 0608728 | 05 | |
| MEDICAID DME | 7703251 | 01 | |
| DEA | BH333454 | 01 |
| 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 |
3333 PINEVILLE MATTHEWS RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-9322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610310 | Dominique Dormeville | Pharmacy | 3333 Pineville Matthews Rd, Charlotte, NC 28226-9322 | 2018-12-17 |
| 1942771514 | Joshua William Sutton | Pharmacist | 3333 Pineville Matthews Rd, Charlotte, NC 28226-9322 | 2018-12-07 |
| 1306330279 | Dillon Bentley | Pharmacist | 3333 Pineville Matthews Rd, Charlotte, NC 28226-9322 | 2018-06-14 |
| 1033621073 | Katherine Weldon Morrill | Pharmacist | 3333 Pineville Matthews Rd, Charlotte, NC 28226-9322 | 2017-10-31 |
| 1245614841 | Jia Kim | Pharmacist | 3333 Pineville Matthews Rd, Charlotte, NC 28226-9322 | 2015-07-13 |
| 1093117798 | Joseph Bero | Pharmacist | 3333 Pineville Matthews Rd, Charlotte, NC 28226-9322 | 2014-09-24 |
| 1730471723 | Joann Canaday Williams | Pharmacist | 3333 Pineville Matthews Rd, Charlotte, NC 28226-9322 | 2011-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| 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 |
|---|---|---|---|---|
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1770121998 | Capsule Charlotte LLC | Pharmacy | 2041 South Blvd Ste 103, Charlotte, NC 28203-5775 | 2019-12-18 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1720576085 | D&d Pharmacy LLC | Pharmacy | 2903 Central Ave Ste A, Charlotte, NC 28205-6073 | 2018-04-23 |
| 1609302173 | Charlotte Family Pharmacy | Pharmacy | 7008 E Wt Harris Blvd Ste 4, Charlotte, NC 28215-4298 | 2017-05-03 |
| 1316483472 | Health Saver Rx, LLC | Pharmacy | 3809 Beam Road Suite H, Suite H, Charlotte, NC 28217 | 2017-01-13 |
| 1396195913 | Rxcp2 | Pharmacy | 6010 E W T Harris Blvd, Charlotte, NC 28215-4084 | 2016-06-14 |
| 1396146452 | Genoa Healthcare, LLC | Pharmacy | 5700 Executive Center Dr Ste 216, Charlotte, NC 28212-8833 | 2014-09-09 |
| 1245630706 | Walgreens Co. | Pharmacy | 2720 South Blvd, Apt 122, Charlotte, NC 28209-0004 | 2014-09-02 |
| Find all providers in CHARLOTTE | ||||
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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.