HARRIS TEETER, LLC
NPI: 1366546699
· CHARLOTTE, NC 28216
· Durable Medical Equipment & Medical Supplies
· NPI assigned 09/08/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WARMAN, JESSIE controls 20+ related entities in our dataset. Read more
$130.00
Total Medicaid Paid
Provider Details
| Authorized Official | WARMAN, JESSIE (MANAGER PHARMACY LICENSING) |
| NPI Enumeration Date | 09/08/2006 |
Related Entities
Other providers sharing the same authorized official: WARMAN, JESSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$130.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
14 |
12 |
$130.00 |