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HARRIS TEETER LLC NPI 1639262363


NPI Information

NPI: 1639262363
Provider Name: HARRIS TEETER, LLC

Other Name: HARRIS TEETER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 34D2101746

Address:
3565 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC
ZIP 28562
Phone: (252) 637-9537
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HARRIS TEETER, LLC is a community/retail pharmacy pharmacy in New Bern, 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 1639262363. The provider is registered as an organization entity type.
The provider Other Name Is Harris Teeter Pharmacy.

The provider's business location address is:

3565 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC
ZIP 28562-209
Phone: (252) 637-9537
Fax: (704) 844-6556

The provider's authorized official is Rose Ward .
The authorized official title is Manager, Pharmacy Admin/ar and has the following contact phone number (704) 844-6525.

The CLIA number assigned to this NPI record is 34D2101746 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 12/3/2018.


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 Supplies06181NORTH CAROLINANo
23336C0003XPharmacyCommunity/Retail Pharmacy06181NORTH 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
13432692OTHERNABP
27703105OTHERMEDICIAD DME
3BH5086663OTHERDEA
40255620MEDICAIDNORTH CAROLINA

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: 11/14/2023

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