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HARRIS TEETER PHARMACY
NPI 1144412487
Pharmacy - Community/Retail Pharmacy in Arlington, VA

Active since August 10, 2007CLIA 49D2101268 · Waiver
4250 CAMPBELL AVE., ARLINGTON, VA 22206(704) 379-2003(703) 379-2297 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jul 21, 2017 (2 updates tracked since 2017).

About Harris Teeter Pharmacy NPPES

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

HARRIS TEETER PHARMACY (NPI 1144412487) is a healthcare organization registered as a community/retail pharmacy in Arlington, Virginia and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Allison Bredestege, Pharmacy Licensing Manager, as its authorized official.

NPPES Registry Identity

NPI1144412487
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHARRIS TEETER, LLC
Location Address4250 CAMPBELL AVE.Arlington, VA 22206
Mailing Address701 Crestdale RdMatthews, NC 28105-1700 · (704) 844-3100 · Fax (704) 844-6556
Phone(704) 379-2003
Fax(703) 379-2297
Organization SubpartNo
Authorized OfficialAllison BredestegePharmacy Licensing Manager · (513) 762-1019
Enumeration DateAugust 10, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1144412487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in VA · 201004192
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.
4250 CAMPBELL AVE., Arlington, VA 22206
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Other Names 1

Other NameHarris Teeter Pharmacy

Other Identifiers 2

Medicaid1144412487VA
Other4840357Nabp

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 49D2101268

Harris Teeter # 235 · Arlington, VA
Active · expires Aug 30, 2027
CLIA Number49D2101268
Laboratory TypePharmacy
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorLindsay Capozziello
Laboratory Phone(703) 379-2241
Laboratory LocationHarris Teeter # 2354250 Campbell Ave Harris Teeter Pharmacy Attn Pharmacist In Charge, Arlington, VA 22206
CLIA data matches this NPI record on: Address Name
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.

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.
80 services80 patients
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.
80 services80 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories Harris Teeter Pharmacy #235 carries, from the Medicare DMEPOS supplier directory.

Harris Teeter Pharmacy #235

DMEPOS supplier · Arlington, VAOperated by Harris Teeter LLC
✔

Accepts Medicare assignment

Harris Teeter Pharmacy #235 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)20530529
Medicare Participant SinceMarch 22, 2011
Supplier Location4250 Campbell AveArlington, VA 22206
Phone(703) 379-2241
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 1144412487. It was assigned to this organization in the NPPES registry on August 10, 2007. The provider is also known as Harris Teeter Pharmacy.

Where is Harris Teeter, LLC located?

Harris Teeter, LLC is located at 4250 Campbell Ave., Arlington, VA 22206. The listed phone number is (704) 379-2003.

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 #235 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 49D2101268) is associated with this NPI, valid through August 30, 2027. 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 March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.