Organization
HARRIS TEETER, LLC
Active
Other names
Harris Teeter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
4701 SMITH FARM RD, CHARLOTTE, NC 28216
(704) 949-2211
(980) 256-3442
Mailing address
701 CRESTDALE RD, MATTHEWS, NC 28105-1700
(704) 844-3100
(704) 844-6556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
07267
NC
3336C0003X
Community/Retail Pharmacy
Primary
07267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0609159
—
NC
01
—
3436347
NABP
—
01
—
7703250
MEDICAID DME
—
Enumeration date
09/08/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us