Active NPI
Harris Teeter LLC
- Community/Retail Pharmacy
- Washington, DC
National Provider Identifier
1639588320
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 #383
- Practice address
- 401 M St SE
Washington, DC 20003-3469 - Phone
- (202) 554-2076
- NPI assigned
- 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
401 M St SE
Washington, DC 20003-3469
Mailing address
701 Crestdale Rd
Matthews, NC 28105-1700
Phone (704) 844-3418
Other names 1
- Harris Teeter Pharmacy #383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140529001652 | DC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9234255217 |
20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fairfax, VA; Arlington, VA; Falls Church, VA; Gaithersburg, MD; Herndon, VA; Laurel, MD; MC Lean, VA; Reston, VA… |
| O20150115002408 | DC | DME Supplier - Pharmacy | 9234255217 | Practice locations: Washington, DC |
Other NPIs on the same Medicare enrollment 20
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Harris Teeter LLC
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1114235512
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1255518981
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
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": "1639588320",
"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": "401 M ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033469",
"telephone_number": "202-554-2076"
}
],
"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 #383",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Washington, DC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.