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HARRIS TEETER PHARMACY
NPI 1487756870
Pharmacy - Community/Retail Pharmacy in Charlotte, NC

Active since September 05, 2006CLIA 34D2156346 · Waiver
11516 PROVIDENCE RD., CHARLOTTE, NC 28277(704) 841-4019(704) 844-6556 Get Directions Write a Review

NPPES record last updated: March 7, 2023. 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 1487756870) is a healthcare organization registered as a community/retail pharmacy in Charlotte, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Rose Ward, Manager, Pharmacy Admin/ar, as its authorized official.

NPPES Registry Identity

NPI1487756870
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHARRIS TEETER, LLC
Location Address11516 PROVIDENCE RD.Charlotte, NC 28277
Mailing Address701 Crestdale RdMatthews, NC 28105-1700 · (704) 844-3100 · Fax (704) 844-6556
Phone(704) 841-4019
Fax(704) 844-6556
Organization SubpartNo
Authorized OfficialRose WardManager, Pharmacy Admin/ar · (704) 844-6524
Enumeration DateSeptember 5, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1487756870 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 · 08188
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 08188 (NC)
11516 PROVIDENCE RD., Charlotte, NC 28277
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Other Names 1

Other NameHarris Teeter Pharmacy

Other Identifiers 3

Other3440459Nabp
Medicaid0609616NC
Other7703808Medicaid Dme

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 34D2156346

Harris Teeter Pharmacy #97-440 · Charlotte, NC
Active · expires Oct 15, 2026
CLIA Number34D2156346
Laboratory TypePharmacy
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorLindsay Capozziello
Laboratory Phone(704) 841-4019
Laboratory LocationHarris Teeter Pharmacy #97-44011135 Golf Links Drive, Charlotte, NC 28277
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1487756870. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is also known as Harris Teeter Pharmacy.

Where is Harris Teeter, LLC located?

Harris Teeter, LLC is located at 11516 Providence Rd., Charlotte, NC 28277. The listed phone number is (704) 841-4019.

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 34D2156346) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.