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HARRIS TEETER PHARMACY
NPI 1659475085
Pharmacy - Community/Retail Pharmacy in Indian Trail, NC

Active since September 07, 2006CLIA 34D2100592 · Waiver
6610 OLD MONROE RD., INDIAN TRAIL, NC 28079(704) 289-1193(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.

Record update history: Mar 7, 2023, May 24, 2018 (2 updates tracked since 2018).

About Harris Teeter Pharmacy NPPES

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

HARRIS TEETER PHARMACY (NPI 1659475085) is a healthcare organization registered as a community/retail pharmacy in Indian Trail, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Jessica Warman, Manager Rx Licensing, as its authorized official.

NPPES Registry Identity

NPI1659475085
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHARRIS TEETER LLC
Location Address6610 OLD MONROE RD.Indian Trail, NC 28079
Mailing Address701 Crestdale RdMatthews, NC 28105-1700 · (704) 844-3100 · Fax (704) 844-6556
Phone(704) 289-1193
Fax(704) 844-6556
Organization SubpartNo
Authorized OfficialJessica WarmanManager Rx Licensing · (513) 762-1019
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1659475085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NC · 09041
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.
6610 OLD MONROE RD., Indian Trail, NC 28079
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Other Names 1

Other NameHarris Teeter Pharmacy

Other Identifiers 3

Medicaid0905555NC
Other3403540Nabp
Other7704395Medicaid Dme

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 34D2100592

Harris Teeter #129 · Indian Trail, NC
Active · expires Aug 17, 2027
CLIA Number34D2100592
Laboratory TypeRetail Pharmacy
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorLindsay Capozziello
Laboratory Phone(704) 289-1193
Laboratory LocationHarris Teeter #1296610 Old Monroe Road Attn Pharmacist In Charge, Indian Trail, NC 28079
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 4

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.
102 services101 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.
96 services95 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.
14 services14 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.
14 services14 patients

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 1659475085. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is also known as Harris Teeter Pharmacy.

Where is Harris Teeter LLC located?

Harris Teeter LLC is located at 6610 Old Monroe Rd., Indian Trail, NC 28079. The listed phone number is (704) 289-1193.

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 34D2100592) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harris Teeter LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Harris Teeter LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.