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HARRIS TEETER PHARMACY
NPI 1093809022
Pharmacy - Community/Retail Pharmacy in Matthews, NC

Active since October 03, 2006CLIA Certified · 3 labs
13639 PROVIDENCE RD, MATTHEWS, NC 28104(704) 847-5771(704) 844-6556 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harris Teeter Pharmacy NPPES

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

HARRIS TEETER PHARMACY (NPI 1093809022) is a healthcare organization registered as a community/retail pharmacy in Matthews, North Carolina and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists Victoria Andrews, Manager Of Licensing, as its authorized official.

NPPES Registry Identity

NPI1093809022
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHARRIS TEETER, LLC
Location Address13639 PROVIDENCE RDMatthews, NC 28104-9373
Mailing Address701 Crestdale RdMatthews, NC 28105-1700 · (704) 844-3100 · Fax (704) 844-6556
Phone(704) 847-5771
Fax(704) 844-6556
Organization SubpartNo
Authorized OfficialVictoria AndrewsManager Of Licensing · (513) 762-1090
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
✔ NPI 1093809022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NC · 09287
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 · License 09287 (NC)
13639 PROVIDENCE RD, Matthews, NC 28104
Open in Google Maps ↗

Other Names 1

Other NameHarris Teeter Pharmacy

Other Identifiers 3

Medicaid0905588NC
Other3405708NC · Nabp
Other7704490NC · Medicaid Dme

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 3

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 34D2155149

Harris Teeter Pharmacy #97-0343 · Matthews, NC
Active · expires Sep 24, 2026
CLIA Number34D2155149
Laboratory TypePharmacy
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorLindsay Capozziello
Laboratory Phone(704) 847-5771
Laboratory LocationHarris Teeter Pharmacy #97-034313639 Providence Road, Matthews, NC 28104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2177067

Harris Teeter Pharmacy 097-021 · Raleigh, NC
Active · expires Jan 1, 2028
CLIA Number34D2177067
Laboratory TypePharmacy
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorLindsay Capozziello
Laboratory Phone(513) 762-1090
Laboratory LocationHarris Teeter Pharmacy 097-021500 Oberlin Road, Raleigh, NC 27605
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2155142

Harris Teeter Pharmacy #97-0273 · Matthews, NC
Active · expires Sep 24, 2026
CLIA Number34D2155142
Laboratory TypePharmacy
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorLindsay Capozziello
Laboratory Phone(704) 684-0224
Laboratory LocationHarris Teeter Pharmacy #97-02731351 Chestnut Lane, Matthews, NC 28104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
97 services97 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.
93 services93 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 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 11

Medicare supplier enrollment and the product categories Harris Teeter Pharmacy #343 carries, from the Medicare DMEPOS supplier directory.

Harris Teeter Pharmacy #343

DMEPOS supplier · Matthews, NCOperated by Harris Teeter LLC
✔

Accepts Medicare assignment

Harris Teeter Pharmacy #343 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)20530247
Medicare Participant SinceMarch 22, 2011
Supplier Location13639 Providence RdMatthews, NC 28104
Phone(704) 847-5771
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

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
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VINCENZO ANTONIO FILIPPIS RPH
Pharmacist
13639 PROVIDENCE RD
MATTHEWS, NC 28104
Union County (704) 847-5771
FAIZA JAMA PHARMD
Pharmacist
13639 PROVIDENCE RD
WEDDINGTON, NC 28104
Union County (704) 847-5771
MR. JOSEPH P FILIPPIS RPH
Pharmacist
13639 PROVIDENCE RD
MATTHEWS, NC 28104
Union County (704) 847-5771
REGINA NOLE
Pharmacist
13639 PROVIDENCE RD
WEDDINGTON, NC 28104
Union County (704) 847-5771

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 1093809022. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is also known as Harris Teeter Pharmacy.

Where is Harris Teeter, LLC located?

Harris Teeter, LLC is located at 13639 Providence Rd, Matthews, NC 28104. The listed phone number is (704) 847-5771.

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 #343 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Harris Teeter, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.