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HARRIS TEETER #409
NPI 1093142796
Pharmacy - Community/Retail Pharmacy in Clarksburg, MD

Active since September 26, 2013CLIA 21D2155486 · Waiver
22700 SWEET SHRUB DRIVE, CLARKSBURG, MD 20871(301) 916-7290(301) 916-7288 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Harris Teeter #409 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARRIS TEETER #409 (NPI 1093142796) is a healthcare organization registered as a community/retail pharmacy in Clarksburg, Maryland and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Mary Noblitt, License Administrator, as its authorized official.

NPPES Registry Identity

NPI1093142796
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHARRIS TEETER, LLC
Location Address22700 SWEET SHRUB DRIVEClarksburg, MD 20871
Mailing Address22700 Sweet Shrub DrClarksburg, MD 20871-3328 · (301) 916-7290 · Fax (301) 916-7288
Phone(301) 916-7290
Fax(301) 916-7288
Organization SubpartNo
Authorized OfficialMary NoblittLicense Administrator · (704) 844-3418
Enumeration DateSeptember 26, 2013
Last NPPES UpdateJuly 15, 2014
✔ NPI 1093142796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
22700 SWEET SHRUB DRIVE, Clarksburg, MD 20871
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Other Names 1

Doing Business AsHarris Teeter #409

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2155486

Harris Teeter Pharmacy #97-0409 · Clarksburg, MD
Active · expires Sep 30, 2026
CLIA Number21D2155486
Laboratory TypePharmacy
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorKellen O. Riley
Laboratory Phone(301) 916-7290
Laboratory LocationHarris Teeter Pharmacy #97-040922700 Sweet Shrub Drive, Clarksburg, MD 20871
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
135 services135 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
131 services131 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories Harris Teeter Pharmacy #409 carries, from the Medicare DMEPOS supplier directory.

Harris Teeter Pharmacy #409

DMEPOS supplier · Clarksburg, MDOperated by Harris Teeter LLC
✔

Accepts Medicare assignment

Harris Teeter Pharmacy #409 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20530967
Medicare Participant SinceMarch 22, 2011
Supplier Location22700 Sweet Shrub DrClarksburg, MD 20871
Phone(301) 316-7290
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harris Teeter, LLC's NPI number?

The NPI number for Harris Teeter, LLC is 1093142796. It was assigned to this organization in the NPPES registry on September 26, 2013. The provider is doing business as Harris Teeter #409.

Where is Harris Teeter, LLC located?

Harris Teeter, LLC is located at 22700 Sweet Shrub Drive, Clarksburg, MD 20871. The listed phone number is (301) 916-7290.

What is Harris Teeter, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Harris Teeter, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Harris Teeter Pharmacy #409 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Harris Teeter, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2155486) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harris Teeter, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Harris Teeter, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harris Teeter, LLC was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.