Harris Teeter, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07033 Issued in NC

Legal business name

HARRIS TEETER, LLC

Practice address

2741 NC Hwy 55
Cary, NC 27519

Phone

(919) 363-3278

Fax

(704) 844-6556

NPI assigned

Oct 3, 2006

Last updated

Mar 7, 2023By 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

Rose Ward

Title

Manager, Pharmacy Admin/Ar

Phone

(704) 844-6524

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Harris Teeter Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Pickerington, OH
  • NPI 1245255967

  Member Of

  NPD member

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marilyn Adams, RPH

  • Pharmacist
  • Cary, NC
  • NPI 1497047500
  NPD (past)
• Carol E Dietz, RPH

  • Pharmacist
  • Cary, NC
  • NPI 1699068064
  NPD (past)
• Hiba Hourani

  • Pharmacist
  • Cary, NC
  • NPI 1952694689
  NPD (past)
• Anjana Patel, RPH

  • Pharmacist
  • Cary, NC
  • NPI 1073806816
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467547935",
    "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": "28105",
            "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": "2741 NC HWY 55",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27519",
            "telephone_number": "919-363-3278",
            "fax_number": "704-844-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS TEETER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "MANAGER, PHARMACY ADMIN/AR",
        "authorized_official_telephone_number": "704-844-6524"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "07033",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "7703107",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929934",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3435016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Teeter Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Harris Teeter LLC
• Harris Teeter Pharmacy
• Harris Teeter, LLC
• Harris Teeter, LLC
• Harris Teeter, LLC
• Harris Teeter, LLC
• Aaron Payne Harris, RPH
• Abigail Elise Harris
• Alexis Patterson Harris, LCMHCA
• Annie Nicole Harris

• Community/Retail Pharmacy in Cary, NC
• Providers in Cary, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.