Active NPI
Harris Teeter LLC
Doing business as Harris Teeter Pharmacy #430
- Community/Retail Pharmacy
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HARRIS TEETER LLC
- Doing business as
- Harris Teeter Pharmacy #430
- Practice address
- 885 Walnut St
Cary, NC 27511-4227 - Phone
- (704) 844-3418
- NPI assigned
- Aug 6, 2014
- Last updated
- Aug 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary K Noblitt
- Title
- License Administrator
- Phone
- (704) 844-3418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
885 Walnut St
Cary, NC 27511-4227
Mailing address
701 Crestdale Rd
Matthews, NC 28105-1700
Phone (704) 844-3418
Other names 1
- Harris Teeter Pharmacy #430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100928000148 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9234255217 | This NPI is an additional NPI on the enrollment |
| O20141216000639 | NC | DME Supplier - Pharmacy | 9234255217 | Practice locations: Cary, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2155136 | Harris Teeter Pharmacy #97-0430 | Certificate of waiver | Sep 24, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Harris Teeter LLC | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipment a… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Harris Teeter LLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1003928524
-
dba Harris Teeter Pharmacy #135
- Community/Retail Pharmacy
- Hampstead, NC
- NPI 1063966729
-
dba Harris Teeter Pharmacy #386
- Community/Retail Pharmacy
- Belmont, NC
- NPI 1083138242
-
- Community/Retail Pharmacy
- Durham, NC
- NPI 1083877591
-
- Community/Retail Pharmacy
- Apex, NC
- NPI 1134613250
-
dba Harris Teeter Pharmacy #273
- Community/Retail Pharmacy
- Matthews, NC
- NPI 1184148488
-
dba Harris Teeter Pharmacy #09700021
- Community/Retail Pharmacy
- Raleigh, NC
- NPI 1205471521
-
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1013001049
-
- Community/Retail Pharmacy
- Kernersville, NC
- NPI 1013011675
-
- Community/Retail Pharmacy
- Wilmington, NC
- NPI 1023101797
-
- Community/Retail Pharmacy
- Wilmington, NC
- NPI 1033213442
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Pickerington, OH
- NPI 1245255967
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407283200000",
"number": "1104235803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 CRESTDALE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051700",
"telephone_number": "704-844-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 WALNUT ST",
"city": "CARY",
"state": "NC",
"postal_code": "275114227",
"telephone_number": "704-844-3418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRIS TEETER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A",
"authorized_official_last_name": "NOBLITT",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "LICENSE ADMINISTRATOR",
"authorized_official_telephone_number": "704-844-3418"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harris Teeter Pharmacy #430",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.