HARRIS TEETER LLC
NPI 1366936387
Pharmacy - Community/Retail Pharmacy in Fuquay Varina, NC

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

Active since June 22, 2018CLIA 34D2155161 · Waiver

1371 E BROAD ST, FUQUAY VARINA, NC 27526(919) 567-7426 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Harris Teeter Llc NPPES

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

HARRIS TEETER LLC (NPI 1366936387) is a healthcare organization registered as a community/retail pharmacy in Fuquay Varina, North Carolina and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Jessie Warman, Manager Of Licensing, as its authorized official.

NPPES Registry Identity

NPI1366936387

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHARRIS TEETER LLC

Location Address1371 E BROAD STFuquay Varina, NC 27526-1966

Mailing AddressPo Box 842772Boston, MA 02284-2772

Phone(919) 567-7426

Organization SubpartNo

Authorized OfficialJessie WarmanManager Of Licensing · (513) 762-1263

Enumeration DateJune 22, 2018

✔ NPI 1366936387 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

1371 E BROAD ST, Fuquay Varina, NC 27526

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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 34D2155161

Harris Teeter Pharmacy #97-0498 · Fuquay Varina, NC

Active · expires Sep 24, 2026

CLIA Number34D2155161

Laboratory TypePharmacy

Certificate Effective DateSeptember 25, 2024

Certificate Expiration DateSeptember 24, 2026

Laboratory DirectorLindsay Capozziello

Laboratory Phone(919) 567-7426

Laboratory LocationHarris Teeter Pharmacy #97-04981371 E Broad Street, Fuquay Varina, NC 27526

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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

316 services316 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.

307 services307 patients

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034

This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.

117 services17 patients

Adm sarscv2 bvl 30mcg/.3ml a 0124A

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

15 services15 patients

Adm sarscv2 bvl 50mcg/.5ml a 0134A

The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.

15 services15 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.

13 services13 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20530787
Accepts Medicare Assignment: YES
Specialities List: Pharmacy, Grocery Store.
Competitive Bidding: NO

Supplies List

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
Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
Urological Supplies - Catheters, Urinary collection devices
Enteral Nutrients - Enteral formula
Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 6

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

DR. LEIGH LILES FOUSHEE PHARMD

Pharmacist (Pharmacotherapy)