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HARRIS TEETER LLC NPI 1922240100


NPI Information

NPI: 1922240100
Provider Name: HARRIS TEETER, LLC

Other Name: HARRIS TEETER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 34D2101741

Address:
14520 JOHN REX BLVD
RALEIGH, NC
ZIP 27614
Phone: (919) 556-2434
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HARRIS TEETER, LLC is a community/retail pharmacy pharmacy in Raleigh, 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 1922240100. The provider is registered as an organization entity type.
The provider Other Name Is Harris Teeter Pharmacy.

The provider's business location address is:

14520 JOHN REX BLVD
RALEIGH, NC
ZIP 27614
Phone: (919) 556-2434
Fax: (704) 844-6556

The provider's authorized official is Rose Ward .
The authorized official title is Manager Pharmacy Accounting/ar and has the following contact phone number (704) 844-6524.

The CLIA number assigned to this NPI record is 34D2101741 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2009 and was last updated on 9/30/2014.


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 Supplies10286NORTH CAROLINANo
23336C0003XPharmacyCommunity/Retail Pharmacy10286NORTH 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
13414391OTHERNCPDP
21226450130MEDICARE NSCNORTH CAROLINA
3FH1350141OTHERDEA
40920317MEDICAIDNORTH 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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