HARRIS TEETER PHARMACY
NPI 1194922930
Pharmacy - Community/Retail Pharmacy in Arlington, VA

Q: What is Harris Teeter LLC's NPI number?

The NPI number for Harris Teeter LLC is 1194922930. It was assigned to this organization in the NPPES registry on June 27, 2007. The provider is also known as Harris Teeter Pharmacy.

Q: 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.

Q: 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.

Active since June 27, 2007CLIA 49D2156435 · Waiver

3600 SOUTH GLEBE RD, ARLINGTON, VA 22202(703) 412-9144(704) 844-6556 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, May 17, 2018 (2 updates tracked since 2018).

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About Harris Teeter Pharmacy NPPES

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

HARRIS TEETER PHARMACY (NPI 1194922930) is a healthcare organization registered as a community/retail pharmacy in Arlington, Virginia and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Allison Bredestege, Pharmacy Licensing Manager, as its authorized official.

NPPES Registry Identity

NPI1194922930

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHARRIS TEETER LLC

Location Address3600 SOUTH GLEBE RDArlington, VA 22202

Mailing Address701 Crestdale RdMatthews, NC 28105-1700 · (704) 844-3100 · Fax (704) 844-6556

Phone(703) 412-9144

Fax(704) 844-6556

Organization SubpartNo

Authorized OfficialAllison BredestegePharmacy Licensing Manager · (513) 762-1019

Enumeration DateJune 27, 2007

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1194922930 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 · 0201004167

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.

3600 SOUTH GLEBE RD, Arlington, VA 22202

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Other Names 1

Other NameHarris Teeter Pharmacy

Other Identifiers 2

Medicaid1194922930VA

Other4840193Nabp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. 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 49D2156435

Harris Teeter Pharmacy #97-0262 · Arlington, VA

Active · expires Oct 17, 2026

CLIA Number49D2156435

Laboratory TypePharmacy

Certificate Effective DateOctober 18, 2024

Certificate Expiration DateOctober 17, 2026

Laboratory DirectorLindsay Capozziello

Laboratory Phone(703) 412-9144

Laboratory LocationHarris Teeter Pharmacy #97-02623600 S Glebe Rd Suite W100, Arlington, VA 22202

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 2

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.

31 services31 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.

30 services30 patients

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 1194922930. It was assigned to this organization in the NPPES registry on June 27, 2007. The provider is also known as Harris Teeter Pharmacy.

Where is Harris Teeter LLC located?

Harris Teeter LLC is located at 3600 South Glebe Rd, Arlington, VA 22202. The listed phone number is (703) 412-9144.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2156435) is associated with this NPI, valid through October 17, 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., Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., AvMed and Avera Health Plans and 19 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.