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HARRIS TEETER 046
NPI 1497048763
Pharmacist in Charlotte, NC

Active since May 19, 2011CLIA 34D2100529 · Waiver
9641 BROOKDALE DR, CHARLOTTE, NC 28215(704) 599-8670(704) 599-8498 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harris Teeter 046 NPPES

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

HARRIS TEETER 046 (NPI 1497048763) is a healthcare organization registered as a pharmacist in Charlotte, North Carolina and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Carmen Montante, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1497048763
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameHARRIS TEETER 046
Location Address9641 BROOKDALE DRCharlotte, NC 28215-8706
Mailing Address9641 Brookdale DrCharlotte, NC 28215-8706 · (704) 599-8670 · Fax (704) 599-8498
Phone(704) 599-8670
Fax(704) 599-8498
Organization SubpartNo
Authorized OfficialCarmen MontantePharmacy Manager · (704) 599-8670
Enumeration DateMay 19, 2011
✔ NPI 1497048763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NC · 14566
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.
9641 BROOKDALE DR, Charlotte, NC 28215
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Other Identifiers 1

Medicaid0609767NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 34D2100529

Harris Teeter #046 · Charlotte, NC
Active · expires Aug 16, 2027
CLIA Number34D2100529
Laboratory TypeRetail Pharmacy
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorLindsay Capozziello
Laboratory Phone(704) 599-8670
Laboratory LocationHarris Teeter #0469641 Brookdale Drive Attn Pharmacist In Charge, Charlotte, NC 28215
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 11

Medicare supplier enrollment and the product categories Harris Teeter Pharmacy # 46 carries, from the Medicare DMEPOS supplier directory.

Harris Teeter Pharmacy # 46

DMEPOS supplier · Charlotte, NCOperated by Harris Teeter LLC
✔

Accepts Medicare assignment

Harris Teeter Pharmacy # 46 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)20530409
Medicare Participant SinceMarch 22, 2011
Supplier Location9641 Brookdale DrCharlotte, NC 28215
Phone(704) 599-8670
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

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
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
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 5

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

MR. CARMEN ANTHONY MONTANTE
Pharmacist
9641 BROOKDALE DR
CHARLOTTE, NC 28215
Mecklenburg County (704) 599-8670
DR. GREGORY BERNARD BROWNING II PHARMD
Pharmacist
9641 BROOKDALE DR
CHARLOTTE, NC 28215
Mecklenburg County (704) 599-8670
CHRISTINE L DUCAR
Pharmacist
9641 BROOKDALE DR
CHARLOTTE, NC 28215
Mecklenburg County (704) 599-8670
GRANT PETTY PHARMD
Pharmacist
9641 BROOKDALE DR
CHARLOTTE, NC 28215
Mecklenburg County (704) 599-8449
LAMIA EL NAWAL PHARMACIST
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9641 BROOKDALE DR
CHARLOTTE, NC 28215
Mecklenburg County (704) 599-8670

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 046's NPI number?

The NPI number for Harris Teeter 046 is 1497048763. It was assigned to this organization in the NPPES registry on May 19, 2011.

Where is Harris Teeter 046 located?

Harris Teeter 046 is located at 9641 Brookdale Dr, Charlotte, NC 28215. The listed phone number is (704) 599-8670.

What is Harris Teeter 046's specialty?

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

Does Harris Teeter 046 accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Harris Teeter Pharmacy # 46 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Harris Teeter 046 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2100529) is associated with this NPI, valid through August 16, 2027. 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 046 was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.