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) 762-1019
Entity
Organization
Contact information
Practice address
134 TOWN CENTER DR, SUITE H, MOORESVILLE, NC 28117-9158
(704) 799-1066
(704) 844-6556
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141
(513) 762-1019
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497678
—
NC
01
—
3410711
NABP
—
01
—
7704929
MEDICAID DME
—
Enumeration date
03/13/2008
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up