Harris Teeter, LLC
Pharmacy, Community/Retail Pharmacy in Waxhaw, NC. Organization (NPI-2).
NPI number1710025366
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1710025366
- Entity type
- Organization (NPI-2)
- Legal business name
- Harris Teeter, LLC
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Mar 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 09465 | NC | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 09465 | NC |
Other names
- Harris Teeter Pharmacy (Other Name)
Practice location
8157 Kensington DrWaxhaw, NC 28173
Phone 704-243-2034 · Fax 704-844-6556
Mailing address
701 Crestdale RdMatthews, NC 28105-1700
Phone 704-844-3100 · Fax 704-844-6556
Authorized official
Rose Ward
Pharmacy Admin/Ar
7048446524
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