HARRIS TEETER
NPI 1215488440
Pharmacist in Greensboro, NC

Q: What is Harris Teeter's NPI number?

The NPI number for Harris Teeter is 1215488440. It was assigned to this organization in the NPPES registry on October 24, 2016.

Q: What is Harris Teeter's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Harris Teeter was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 24, 2016CLIA 34D2100735 · Waiver

4010 BATTLEGROUND AVE, GREENSBORO, NC 27410(336) 288-2246 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Harris Teeter NPPES

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

HARRIS TEETER (NPI 1215488440) is a healthcare organization registered as a pharmacist in Greensboro, North Carolina and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Billy Soffera, Pharmacy Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1215488440

Entity TypeOrganization

Primary Taxonomy183500000X

Legal Business NameHARRIS TEETER

Location Address4010 BATTLEGROUND AVEGreensboro, NC 27410-9296

Mailing Address4010 Battleground AveGreensboro, NC 27410-9296

Phone(336) 288-2246

Organization SubpartNo

Authorized OfficialBilly SofferaPharmacy Operations Manager · (704) 238-3759

Enumeration DateOctober 24, 2016

✔ NPI 1215488440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in NC · 26222

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

4010 BATTLEGROUND AVE, Greensboro, NC 27410

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 34D2100735

Harris Teeter #280 · Greensboro, NC

Active · expires Aug 20, 2027

CLIA Number34D2100735

Laboratory TypeRetail Pharmacy

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorLindsey Capozziello

Laboratory Phone(336) 288-2246

Laboratory LocationHarris Teeter #2804010 Battleground Ave, Greensboro, NC 27410

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories Harris Teeter #306 carries, from the Medicare DMEPOS supplier directory.

Harris Teeter #306

DMEPOS supplier · Greensboro, NCOperated by Harris Teeter LLC

✔

Accepts Medicare assignment

Harris Teeter #306 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)20530337

Medicare Participant SinceMarch 22, 2011

Supplier Location3330W Friendly AveGreensboro, NC 27410

Phone(336) 297-1497

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.

Other Providers at the Same Location NPPES 8

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

DR. DEVAN MARIE MITCHELL PHARMD, MBA

Pharmacist