HARRIS TEETER PHARMACY
NPI 1598093627
Pharmacy - Community/Retail Pharmacy in Fairfax, VA

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

The NPI number for Harris Teeter, LLC is 1598093627. It was assigned to this organization in the NPPES registry on December 1, 2009. 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.

Active since December 01, 2009CLIA 49D2103169 · Waiver

3905 FAIR RIDGE DR, FAIRFAX, VA 22033(703) 877-0580(703) 877-0592 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Harris Teeter Pharmacy NPPES

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

HARRIS TEETER PHARMACY (NPI 1598093627) is a healthcare organization registered as a community/retail pharmacy in Fairfax, Virginia and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Rose W Ward, Dir Pharmacy Accounting, as its authorized official.

NPPES Registry Identity

NPI1598093627

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHARRIS TEETER, LLC

Location Address3905 FAIR RIDGE DRFairfax, VA 22033-2906

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

Phone(703) 877-0580

Fax(703) 877-0592

Organization SubpartNo

Authorized OfficialRose W WardDir Pharmacy Accounting · (704) 844-6524

Enumeration DateDecember 1, 2009

Last NPPES UpdateOctober 9, 2014

✔ NPI 1598093627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3905 FAIR RIDGE DR, Fairfax, VA 22033

Open in Google Maps ↗

Other Names 1

Other NameHarris Teeter Pharmacy

Other Identifiers 2

Medicare NSC1226450140

Other4841981VA · Ncpdp

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 49D2103169

Harris Teeter Pharmacy #253 · Fairfax, VA

Active · expires Oct 5, 2027

CLIA Number49D2103169

Laboratory TypePharmacy

Certificate Effective DateOctober 6, 2025

Certificate Expiration DateOctober 5, 2027

Laboratory DirectorLindsay Capozziello

Laboratory Phone(703) 877-0584

Laboratory LocationHarris Teeter Pharmacy #2533905 Fair Ridge Drive Attn Pharmacist In Charge, Fairfax, VA 22033

CLIA data matches this NPI record on: Address Name

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

Areas of Expertise CMS Part B claims 5

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.

250 services248 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.

232 services230 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.

24 services24 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

24 services24 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

12 services12 patients

Other Providers at the Same Location NPPES 7

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

SOOJI JEON

Pharmacist