Harris Teeter, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH16388 Issued in FL

Legal business name

HARRIS TEETER, INC.

Practice address

840 A1A North
Ponte Vedra Beach, FL 32082

Phone

(904) 280-4392

Fax

(704) 844-6556

NPI assigned

Sep 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lamar Hardman

Title

Director of Pharmacy

Phone

(704) 844-4147

Specialties & licenses 1

Addresses

Other names 1

• Harris Teeter Pharmacy Other name

Tax ID family

Harris Teeter LLC208 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Harris Teeter LLC

  dba Harris Teeter #34

  • Community/Retail Pharmacy
  • Fernandina Beach, FL
  • NPI 1619497583
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336241405",
    "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": "704-844-3100",
            "fax_number": "704-844-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 A1A NORTH",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-280-4392",
            "fax_number": "704-844-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS TEETER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDMAN",
        "authorized_official_first_name": "LAMAR",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "704-844-4147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH16388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Teeter Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erika Rachel Hamer, D.C.
• Kimberly Huggins Hamilton, MS CCC-SLP
• Deborah D. Hanna, LCSW
• James E Hardy III, M.D.
• Maureen Travers Harper, LMHC
• John B Harris, MD
• Theresa Lyon Harris, APRN
• Deborah Dee Hartley, LMT
• David Meriwether Harvey, PHD
• Sara Elizabeth Haugen, FNP-BC

• Community/Retail Pharmacy in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.