MEDICARE: HARRIS TEETER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1467861161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS TEETER LLC

Provider Business Mailing Address
First Line	:	701 CRESTDALE RD
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-1700
Country	:	US
Telephone Number	:	704-844-3418
Fax Number	:

Provider Business Practice Location Address
First Line	:	735 N SAINT ASAPH ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-1911
Country	:	US
Telephone Number	:	704-844-3418
Fax Number	:

Authorized Official
Title or Position	:	LICENSE ADMINISTRATOR
Name	:	MARY K NOBLITT
Credential	:
Telephone Number	:	704-844-3418

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	08/06/2014

Similar Medicare Providers

1396259586 — SASAN AHMADIYAR, DDS,PLLC
Practice Location Address:

1911 BALLENGER AVE
ALEXANDRIA, VA
22314-6819

Practice Phone: 703-299-1200
Practice Fax:

1386247211 — DR. CAROLYN NGUYEN
Practice Location Address:

735 N SAINT ASAPH ST
ALEXANDRIA, VA
22314-1911

Practice Phone: 703-419-3837
Practice Fax:

1740055680 — THE TOOTH DOC LLC
Practice Location Address:

1911 BALLENGER AVE
ALEXANDRIA, VA
22314-6819

Practice Phone: 703-299-1200
Practice Fax: 703-299-1222

1073361861 — 1918 WINTER STREET OPERATING CO LLC
Practice Location Address:

735 N SAINT ASAPH ST
ALEXANDRIA, VA
22314-1911

Practice Phone: 703-419-3855
Practice Fax: 703-566-3671

1821302175 — DR. ALIYA LADHA M.D.
Practice Location Address:

700 S WASHINGTON ST STE 300
ALEXANDRIA, VA
22314-4287

Practice Phone: 703-940-3364
Practice Fax: 703-717-4055

1053369454 — MS. ANDREA ELLEN WILLIAMS M.D.
Practice Location Address:

700 S WASHINGTON ST STE 330
ALEXANDRIA, VA
22314-4252

Practice Phone: 703-940-3364
Practice Fax: 703-717-4055

Directions to “HARRIS TEETER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.