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HARRIS TEETER LLC NPI 1649386616


NPI Information

NPI: 1649386616
Provider Name: HARRIS TEETER, LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 34D2101042

Address:
3333 PINEVILLE MATTHEWS RD
CHARLOTTE, NC
ZIP 28226
Phone: (704) 544-4815
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HARRIS TEETER, LLC is a community/retail pharmacy pharmacy in Charlotte, NC. The provider is 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. HARRIS TEETER, LLC NPI is 1649386616. The provider is registered as an organization entity type.

The provider's business location address is:

3333 PINEVILLE MATTHEWS RD
CHARLOTTE, NC
ZIP 28226-322
Phone: (704) 544-4815
Fax: (704) 544-4826

The provider's authorized official is Allison Bredestege .
The authorized official title is Manager Pharmacy Licensing and has the following contact phone number (513) 762-1019.

The CLIA number assigned to this NPI record is 34D2101042 - other - retail pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies06492NORTH CAROLINANo
23336C0003XPharmacyCommunity/Retail Pharmacy06492NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10608728MEDICAIDNORTH CAROLINA
23434292OTHERNABP
37703251OTHERMEDICAID DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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