Harris Teeter, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4652 Issued in TN

Legal business name

HARRIS TEETER, LLC

Practice address

4416 Ridgefield Way
Nashville, TN 37205

Phone

(615) 298-2180

Fax

(615) 383-8078

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Rose W Ward

Title

Director Pharmacy Administration

Phone

(704) 844-6524

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harris Teeter Pharmacy Other name

Member of 1

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

• The Kroger Co

  • Community/Retail Pharmacy
  • Woodstock, GA
  • NPI 1720012560

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boyd Mitchell Brown

  • Pharmacist
  • Nashville, TN
  • NPI 1780976886
  NPD (past)
• Heather Gibson, PHARM D

  • Pharmacist
  • Nashville, TN
  • NPI 1861839961
  NPD (past)
• Jennifer Kalinsky, PHARM.D.

  • Pharmacist
  • Nashville, TN
  • NPI 1851684294
  NPD (past)

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770717324",
    "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": "804-644-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 RIDGEFIELD WAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-298-2180",
            "fax_number": "615-383-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS TEETER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR PHARMACY ADMINISTRATION",
        "authorized_official_telephone_number": "704-844-6524"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4442327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Teeter Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Justin Harrington
• Maya Therese Harrington, MD, MBA
• Alwyn Dalvester Harriott, M.D.
• Claire Katherine Harris Kramer, LMSW, M.DIV.
• Harris Teeter, LLC
• Shareese Celeste Harris-Gay
• Aisha Kamilah Lynn Harris, APRN-FNP-C
• Alexandra Harris
• Amanda Harris
• Andrew Harris

• Community/Retail Pharmacy in Nashville, TN
• Providers in Nashville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.